Stephen J Delventhal, MD is a medicare enrolled "Surgery" physician in Richland Center, Wisconsin. His current practice location is
301 E 2nd St, Richland Center, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(608) 647-6161.
Stephen J Delventhal is licensed to practice in Wisconsin (license number 19478) 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 1215938956.
Physician's Profile
Full Name | Stephen J Delventhal |
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Gender | Male |
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Speciality | Surgery |
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Location | 301 E 2nd St, Richland Center, Wisconsin |
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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: 1215938956
- Provider Enumeration Date: 08/03/2005
- Last Update Date: 01/23/2008
Medicare PECOS Information:
- PECOS PAC ID: 6103808704
- Enrollment ID: I20091208000287
Medical Identifiers
Medical identifiers for Stephen J Delventhal such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1215938956 | NPI | - | NPPES |
30313300 | Medicaid | WI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 19478 (Wisconsin) | 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. Stephen J Delventhal allows following entities to bill medicare on his behalf.
Entity Name | Richland Medical Center, Ltd. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1932100690 PECOS PAC ID: 6305828906 Enrollment ID: O20040607000729 |
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Entity Name | Richland Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1659301273 PECOS PAC ID: 7618861618 Enrollment ID: O20110318000356 |
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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. Stephen J Delventhal 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 |
Stephen J Delventhal, MD 301 E 2nd St, Richland Center, WI 53581-1900 Ph: (608) 647-6161 | Stephen J Delventhal, MD 301 E 2nd St, Richland Center, WI 53581-1900 Ph: (608) 647-6161 |
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