Stephen M Raph, MD - Medicare Internal Medicine in Houlton, ME

Stephen M Raph, MD is a medicare enrolled "Internal Medicine" physician in Houlton, Maine. His current practice location is 20 Hartford St, Houlton, Maine. You can reach out to his office (for appointments etc.) via phone at (207) 532-2900.

Stephen M Raph is licensed to practice in Maine (license number 015588) 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 1033175971.

Contact Information

Stephen M Raph, MD
20 Hartford St,
Houlton, ME 04730-1891
(207) 532-2900
(207) 532-5974

Map and Direction




Physician's Profile

Full NameStephen M Raph
GenderMale
SpecialityInternal Medicine
Location20 Hartford St, Houlton, Maine
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1033175971
  • Provider Enumeration Date: 04/20/2006
  • Last Update Date: 03/14/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 1850333808
  • Enrollment ID: I20050531000852

Medical Identifiers

Medical identifiers for Stephen M Raph such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033175971NPI-NPPES
7444248OtherAETNA NON-HMO
2628464OtherAETNA HMO
MN4465OtherHARVARD PILGRIM
027909OtherMEANTHEM BC/BS MAINE
312390099MedicaidME
110224937OtherRAILROAD MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 015588 (Maine)Primary
208M00000XHospitalist 015588 (Maine)Secondary

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 M Raph allows following entities to bill medicare on his behalf.
Entity NameMainegeneral Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669423380
PECOS PAC ID: 1254245715
Enrollment ID: O20031118000718

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 M Raph 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 AddressPractice Location Address
Stephen M Raph, MD
22 Hartford St,
Houlton, ME 04730-1844

Ph: (207) 532-4068
Stephen M Raph, MD
20 Hartford St,
Houlton, ME 04730-1891

Ph: (207) 532-2900

Reviews and Comments


Internal Medicine Doctors in Houlton, ME

Jon C Older, DO
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 20 Hartford St, Houlton, ME 04730
Phone: 207-532-2900    Fax: 207-532-5974
Hassan E Abouleish, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 22 Hartford St, Sigrid E Tompkins Health Center, Houlton, ME 04730
Phone: 207-532-4068    Fax: 207-532-5974
Mr. Larry J Sokolic, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 22 Hatford St, Houlton, ME 04730
Phone: 218-463-1365    Fax: 218-463-4712
Thomas J. Ryan, D.O.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 20 Hartford St, Houlton, ME 04730
Phone: 207-532-2900    Fax: 207-532-5974
Ted L Sussman, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 22 Hartford St, Sigrid E Tompkins Health Center, Houlton, ME 04730
Phone: 207-532-4068    Fax: 207-532-5974

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.