Stephanie Michele Peters, MD, MS is a medicare enrolled "Colon & Rectal Surgery" physician in Overland Park, Kansas. Her current practice location is
4370 W 109th St Ste 350, Overland Park, Kansas. You can reach out to her office (for appointments etc.) via phone at
(846) 941-0800.
Stephanie Michele Peters is licensed to practice in Kansas (license number 04-46869) 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 1871989103.
Physician's Profile
Full Name | Stephanie Michele Peters |
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Gender | Female |
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Speciality | Colon & Rectal Surgery |
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Location | 4370 W 109th St Ste 350, Overland Park, Kansas |
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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: 1871989103
- Provider Enumeration Date: 04/14/2015
- Last Update Date: 11/14/2022
Medicare PECOS Information:
- PECOS PAC ID: 9032411574
- Enrollment ID: I20221201001224
Medical Identifiers
Medical identifiers for Stephanie Michele Peters such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1871989103 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | MD61057094 (Washington) | Secondary |
208C00000X | Colon & Rectal Surgery | 01085973A (Indiana) | Secondary |
208C00000X | Colon & Rectal Surgery | 2022041373 (Missouri) | Secondary |
208C00000X | Colon & Rectal Surgery | 04-46869 (Kansas) | 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. Stephanie Michele Peters allows following entities to bill medicare on her behalf.
Entity Name | Menorah Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1386957223 PECOS PAC ID: 1355535162 Enrollment ID: O20101104001343 |
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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. Stephanie Michele Peters 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 |
Stephanie Michele Peters, MD, MS 4370 W 109th St Ste 350, Overland Park, KS 66211-1370 Ph: (317) 834-9618 | Stephanie Michele Peters, MD, MS 4370 W 109th St Ste 350, Overland Park, KS 66211-1370 Ph: (846) 941-0800 |
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