Stacey Wittenberg, MD in Royal Oak, MI

Stacey Wittenberg, MD is a medicare enrolled "Pediatrics" physician in Royal Oak, Michigan. Her current practice location is 3601 W 13 Mile Rd, Fsc, Royal Oak, Michigan. You can reach out to her office (for appointments etc.) via phone at (248) 423-2454.

Stacey Wittenberg is licensed to practice in Michigan (license number 4301072276) 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 1477583243.

Contact Information

	Stacey Wittenberg, MD
	3601 W 13 Mile Rd, Fsc, Royal Oak, MI 48073-6712
	(248) 423-2454
	(248) 423-2576

Map and Direction

Physician's Profile

Full Name	Stacey Wittenberg
Gender	Female
Speciality	Pediatrics
Location	3601 W 13 Mile Rd, Royal Oak, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477583243
Provider Enumeration Date: 07/04/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 8325391204
Enrollment ID: I20181023000443

Medical Identifiers

Medical identifiers for Stacey Wittenberg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477583243	NPI	-	NPPES
4334587	Medicaid	MI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	4301072276 (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. Stacey Wittenberg allows following entities to bill medicare on her behalf.

Entity Name	Henry Ford Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134144801 PECOS PAC ID: 0547178311 Enrollment ID: O20031105000139

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. Stacey Wittenberg 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
Stacey Wittenberg, MD 3601 W 13 Mile Rd, Fsc, Royal Oak, MI 48073-6712 Ph: (248) 423-2454	Stacey Wittenberg, MD 3601 W 13 Mile Rd, Fsc, Royal Oak, MI 48073-6712 Ph: (248) 423-2454

Reviews and Comments

Pediatrics Doctors in Royal Oak, MI

Melissa Joy Drewry, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-5000
Dr. Jamal Kriem, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3535 W 13 Mile Rd Ste 707, Royal Oak, MI 48073 Phone: 248-551-0487 Fax: 248-551-3696
Elliott Weinhouse, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3535 W 13 Mile Rd Ste 108, Royal Oak, MI 48073 Phone: 248-551-2900 Fax: 248-551-0800
Dr. Evelyn J Brito, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-551-2047 Fax: 248-551-2092
Hannah Gadway, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3601 W Thirteen Mile Rd, Gme Offic, Royal Oak, MI 48073 Phone: 248-551-6489
Dr. Nicole R Peltz, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 27332 Woodward Ave, Ste 100, Royal Oak, MI 48067 Phone: 248-543-1545 Fax: 248-543-8638
Varsha Ganesh Deshmukh, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-423-2454

Stacey Wittenberg, MD - Medicare Pediatrics in Royal Oak, MI