Stephen E Stevenson, MD is a
Family Medicine physician based in Mayetta, Kansas. Stephen E Stevenson is licensed to practice in Kansas (license number 04-22751) and his current practice location is 11400 158th Rd, Mayetta, Kansas. He can be reached at his office (for appointments etc.) via phone at
(785) 966-8200.
NPI number for Stephen E Stevenson is 1245267715 and his current mailing address is 11400 158th Rd, Mayetta, Kansas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1245267715.
Physician's Profile
| Full Name | Stephen E Stevenson |
|---|
| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 11400 158th Rd, Mayetta, Kansas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1245267715
- Provider Enumeration Date: 06/28/2006
- Last Update Date: 03/07/2023
Medical Identifiers
Medical identifiers for Stephen E Stevenson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1245267715 | NPI | - | NPPES |
| 04-22751 | Other | KS | KS ST BOARD OF HEALING AR |
| 38375 | Other | CO | STATE OF COLORADO |
| 17D0668588 | Other | KS | CLIA CERTIFICATE |
| 200259300A | Medicaid | KS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 04-22751 (Kansas) | Primary |
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. Stephen E Stevenson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Stephen E Stevenson, MD
11400 158th Rd,
Mayetta, KS 66509-8866
Ph: (785) 966-8200 | Stephen E Stevenson, MD
11400 158th Rd,
Mayetta, KS 66509-8866
Ph: (785) 966-8200 |
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