Stephan Kraeling, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Lawrenceburg, Indiana. His current practice location is
600 Wilson Creek Rd, Lawrenceburg, Indiana. You can reach out to his office (for appointments etc.) via phone at
(812) 496-8776.
Stephan Kraeling is licensed to practice in Indiana (license number 01053284A) 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 1366411308.
Physician's Profile
Full Name | Stephan Kraeling |
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Gender | Male |
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Speciality | Obstetrics & Gynecology |
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Location | 600 Wilson Creek Rd, Lawrenceburg, Indiana |
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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: 1366411308
- Provider Enumeration Date: 03/14/2006
- Last Update Date: 12/19/2022
Medicare PECOS Information:
- PECOS PAC ID: 1951361104
- Enrollment ID: I20041013000279
Medical Identifiers
Medical identifiers for Stephan Kraeling such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1366411308 | NPI | - | NPPES |
200280100 | Medicaid | IN | |
0625309 | Medicaid | OH | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207V00000X | Obstetrics & Gynecology | 55961 (Kentucky) | Secondary |
207V00000X | Obstetrics & Gynecology | TP286 (Kentucky) | Secondary |
207V00000X | Obstetrics & Gynecology | 01053284A (Indiana) | 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. Stephan Kraeling allows following entities to bill medicare on his behalf.
Entity Name | Summit Medical Group, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1508287640 PECOS PAC ID: 2163326240 Enrollment ID: O20040403000151 |
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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. Stephan Kraeling 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 |
Stephan Kraeling, MD Po Box 635283, Cincinnati, OH 45263-5283 Ph: (593) 012-4408 | Stephan Kraeling, MD 600 Wilson Creek Rd, Lawrenceburg, IN 47025-2751 Ph: (812) 496-8776 |
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