Stephanie Rutterbush, MD is a medicare enrolled "Family Medicine" physician in Lewiston, Michigan. She went to Michigan State University College Of Human Medicine and graduated in 2015 and has 9 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Munson Healthcare Otsego Memorial Hospital and her current practice location is
3040 Bourn St, Lewiston, Michigan. You can reach out to her office (for appointments etc.) via phone at
(989) 786-4877.
Stephanie Rutterbush is licensed to practice in Michigan (license number 4301108253) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1649652298.
Physician's Profile
Full Name | Stephanie Rutterbush |
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Gender | Female |
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Speciality | Family Practice |
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Experience | 9 Years |
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Location | 3040 Bourn St, Lewiston, Michigan |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Stephanie Rutterbush attended and graduated from Michigan State University College Of Human Medicine in 2015
NPI Data:
- NPI Number: 1649652298
- Provider Enumeration Date: 06/19/2015
- Last Update Date: 05/15/2024
Medicare PECOS Information:
- PECOS PAC ID: 5890008528
- Enrollment ID: I20150723007937
Medical Identifiers
Medical identifiers for Stephanie Rutterbush such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1649652298 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 4301108253 (Michigan) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Munson Healthcare Otsego Memorial Hospital | 8325942535 | 71 |
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 Rutterbush allows following entities to bill medicare on her behalf.
Entity Name | Munson Healthcare Otsego Memorial Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1164628426 PECOS PAC ID: 8325942535 Enrollment ID: O20040305000525 |
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Entity Name | Dlp Marquette Physician Practices Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1487902995 PECOS PAC ID: 9931359601 Enrollment ID: O20121016000312 |
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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 Rutterbush 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 Rutterbush, MD 271 Mccoy Rd W, Gaylord, MI 49735-8253 Ph: (989) 731-7777 | Stephanie Rutterbush, MD 3040 Bourn St, Lewiston, MI 49756 Ph: (989) 786-4877 |
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