Stephen R Hietala, MD in Perham, MN - Medicare Family Medicine

Stephen R Hietala, MD is a medicare enrolled "Family Medicine" physician in Perham, Minnesota. His current practice location is 665 3rd St Sw, Perham, Minnesota. You can reach out to his office (for appointments etc.) via phone at (218) 347-1200.

Stephen R Hietala is licensed to practice in Minnesota (license number 28147) 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 1710905351.

Contact Information

	Stephen R Hietala, MD
	665 3rd St Sw, Perham, MN 56573-1108
	(218) 347-1200
	(218) 346-4043

Map and Direction

Physician's Profile

Full Name	Stephen R Hietala
Gender	Male
Speciality	Family Medicine
Location	665 3rd St Sw, Perham, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710905351
Provider Enumeration Date: 07/18/2006
Last Update Date: 11/17/2011

Medicare PECOS Information:

PECOS PAC ID: 0941497473
Enrollment ID: I20101209001315

Medical Identifiers

Medical identifiers for Stephen R Hietala such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710905351	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	28147 (Minnesota)	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 R Hietala allows following entities to bill medicare on his behalf.

Entity Name	Sanford Clinic North
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548532468 PECOS PAC ID: 4284546151 Enrollment ID: O20031209000264

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 R Hietala 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 R Hietala, MD 665 3rd St Sw, Perham, MN 56573-1108 Ph: (218) 347-1200	Stephen R Hietala, MD 665 3rd St Sw, Perham, MN 56573-1108 Ph: (218) 347-1200

Reviews and Comments

Family Medicine Doctors in Perham, MN

Amy Renee White Jones, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1000 Coney St W, Perham, MN 56573 Phone: 218-347-1200
Dr. Shelby Rae Bucholz, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1000 Coney St W, Perham, MN 56573 Phone: 218-347-1200
Dr. Marlee Irene Novak, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Coney St W, Perham, MN 56573 Phone: 218-347-1200
Chad G Thiel, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Coney St W, Perham, MN 56573 Phone: 218-347-1200 Fax: 218-346-4043
Jeffrey L Blickenstaff, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 665 3rd St Sw, Perham, MN 56573 Phone: 218-346-4040 Fax: 218-346-4043
Timothy J Studer, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Coney St W, Perham, MN 56573 Phone: 218-347-1200
Mark R Paulson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Coney St W, Perham, MN 56573 Phone: 218-347-1200

Stephen R Hietala, MD - Medicare Family Medicine in Perham, MN