Dr Stephanie Detlefsen, MD in Portland, OR - Medicare Internal Medicine

Dr Stephanie Detlefsen, MD is a medicare enrolled "Internal Medicine" physician in Portland, Oregon. Her current practice location is 3550 N Interstate Ave, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 331-6440.

Dr Stephanie Detlefsen is licensed to practice in Oregon (license number MD21644) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1831209980.

Contact Information

	Dr Stephanie Detlefsen, MD
	3550 N Interstate Ave, Portland, OR 97227-1196
	(503) 331-6440
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Stephanie Detlefsen
Gender	Female
Speciality	Internal Medicine
Location	3550 N Interstate Ave, Portland, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1831209980
Provider Enumeration Date: 08/30/2006
Last Update Date: 02/04/2022

Medicare PECOS Information:

PECOS PAC ID: 2264522234
Enrollment ID: I20071213000606

Medical Identifiers

Medical identifiers for Dr Stephanie Detlefsen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831209980	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	MD21644 (Oregon)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Stephanie Detlefsen allows following entities to bill medicare on her behalf.

Entity Name	Kaiser Foundation Health Plan Of The Northwest
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040130000799

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Stephanie Detlefsen is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Stephanie Detlefsen, MD 3550 N Interstate Ave, Portland, OR 97227-1196 Ph: () -	Dr Stephanie Detlefsen, MD 3550 N Interstate Ave, Portland, OR 97227-1196 Ph: (503) 331-6440

Reviews and Comments

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Richa Uppal, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 Sw 13th Ave, Portland, OR 97205 Phone: 503-221-0161 Fax: 503-274-1697
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Dr Stephanie Detlefsen, MD - Medicare Internal Medicine in Portland, OR