Sean Rayl Stephenson, DO is a medicare enrolled "General Practice" physician in Fenton, Michigan. His current practice location is
305 N Leroy St, Fenton, Michigan. You can reach out to his office (for appointments etc.) via phone at
(810) 629-0336.
Sean Rayl Stephenson is licensed to practice in Michigan (license number 5101016669) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1942219621.
Physician's Profile
Full Name | Sean Rayl Stephenson |
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Gender | Male |
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Speciality | General Practice |
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Location | 305 N Leroy St, Fenton, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1942219621
- Provider Enumeration Date: 08/05/2006
- Last Update Date: 04/30/2008
Medicare PECOS Information:
- PECOS PAC ID: 1658476031
- Enrollment ID: I20070412000573
Medical Identifiers
Medical identifiers for Sean Rayl Stephenson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1942219621 | NPI | - | NPPES |
114917050 | Medicaid | MI | |
114917041 | Medicaid | MI | |
114917097 | Medicaid | MI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 5101016669 (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. Sean Rayl Stephenson allows following entities to bill medicare on his behalf.
Entity Name | Mclaren Oakland |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1053463778 PECOS PAC ID: 0547173213 Enrollment ID: O20031111000770 |
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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. Sean Rayl Stephenson 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 |
Sean Rayl Stephenson, DO 305 N Leroy St, Fenton, MI 48430-2729 Ph: (810) 629-0336 | Sean Rayl Stephenson, DO 305 N Leroy St, Fenton, MI 48430-2729 Ph: (810) 629-0336 |
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