Lara De Stefano, MD in Grand Rapids, MI - Medicare Psychiatry & Neurology

Lara De Stefano, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Grand Rapids, Michigan. Her current practice location is 35 Michigan St Ne Ste 5201, Grand Rapids, Michigan. You can reach out to her office (for appointments etc.) via phone at (616) 267-2830.

Lara De Stefano is licensed to practice in Michigan (license number 4301115252) 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 1174018337.

Contact Information

	Lara De Stefano, MD
	35 Michigan St Ne Ste 5201, Grand Rapids, MI 49503-2530
	(616) 267-2830
	Not Available

Map and Direction

Physician's Profile

Full Name	Lara De Stefano
Gender	Female
Speciality	Psychiatry & Neurology - Psychiatry
Location	35 Michigan St Ne Ste 5201, Grand Rapids, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174018337
Provider Enumeration Date: 06/28/2018
Last Update Date: 07/31/2023

Medicare PECOS Information:

PECOS PAC ID: 1658628292
Enrollment ID: I20230611000034

Medical Identifiers

Medical identifiers for Lara De Stefano such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174018337	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	4301115252 (Michigan)	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. Lara De Stefano allows following entities to bill medicare on her behalf.

Entity Name	Spectrum Health Primary Care Partners
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235188673 PECOS PAC ID: 4587568647 Enrollment ID: O20031121000091

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. Lara De Stefano 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
Lara De Stefano, MD 100 Michigan St Ne # Mc845, Grand Rapids, MI 49503-2560 Ph: () -	Lara De Stefano, MD 35 Michigan St Ne Ste 5201, Grand Rapids, MI 49503-2530 Ph: (616) 267-2830

Reviews and Comments

Psychiatry & Neurology Doctors in Grand Rapids, MI

Dr. Talal Khan, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 300 68th Street Se, Pine Rest Christian Mental Health Service,, Grand Rapids, MI 49548 Phone: 616-455-5000
Mark Melby Juel, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 300 68th St Se, Grand Rapids, MI 49548 Phone: 616-456-0842 Fax: 616-559-5864
Beenish Javaid, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 100 Michigan St Ne # Mc845, Grand Rapids, MI 49503 Phone: 616-267-7104
Subodh Jain, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2750 E Beltline Ave Ne Fl 3, Grand Rapids, MI 49525 Phone: 616-447-5820
Dr. Dora Eva Hillman, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1545 68th St Se Ste 200, Grand Rapids, MI 49508 Phone: 616-447-5820
Dr. Austin Lee Van Velsen, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 300 68th St Se, Grand Rapids, MI 49548 Phone: 616-456-0857
Dr. Justin Royer, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 300 68th St Se, Grand Rapids, MI 49548 Phone: 616-456-0857

Lara De Stefano, MD - Medicare Psychiatry & Neurology in Grand Rapids, MI