Stephen Raymond Humphrey, in Milwaukee, WI

Stephen Raymond Humphrey, is a medicare enrolled "Dermatology" physician in Milwaukee, Wisconsin. His current practice location is 9000 W Wisconsin Ave, Pediatric Dermatology, Milwaukee, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (414) 266-1569.

Stephen Raymond Humphrey is licensed to practice in Wisconsin (license number 58250) 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 1417246257.

Contact Information

	Stephen Raymond Humphrey,
	9000 W Wisconsin Ave, Pediatric Dermatology, Milwaukee, WI 53226-4874
	(414) 266-1569
	(414) 266-3315

Map and Direction

Physician's Profile

Full Name	Stephen Raymond Humphrey
Gender	Male
Speciality	Dermatology
Location	9000 W Wisconsin Ave, Milwaukee, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417246257
Provider Enumeration Date: 04/01/2011
Last Update Date: 03/12/2024

Medicare PECOS Information:

PECOS PAC ID: 0143541656
Enrollment ID: I20150609003074

Medical Identifiers

Medical identifiers for Stephen Raymond Humphrey such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417246257	NPI	-	NPPES
1417246257	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207NP0225X	Dermatology - Pediatric Dermatology	58250 (Wisconsin)	Secondary
207N00000X	Dermatology	58250 (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 Raymond Humphrey allows following entities to bill medicare on his behalf.

Entity Name	The Medical College Of Wisconsin Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699720086 PECOS PAC ID: 2668384371 Enrollment ID: O20031120000259

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 Raymond Humphrey 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 Raymond Humphrey, 9000 W Wisconsin Ave, Pediatric Dermatology, Milwaukee, WI 53226-4874 Ph: (414) 266-1569	Stephen Raymond Humphrey, 9000 W Wisconsin Ave, Pediatric Dermatology, Milwaukee, WI 53226-4874 Ph: (414) 266-1569

Reviews and Comments

Dermatology Doctors in Milwaukee, WI

Dr. Yvonne E-fen Chiu, MD Dermatology Medicare: Medicare Enrolled Practice Location: 9000 W Wisconsin Ave, Pediatric Dermatology, Milwaukee, WI 53226 Phone: 414-266-1569 Fax: 414-266-3315
Peggy Tong, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3003 W Good Hope Rd, Milwaukee, WI 53209 Phone: 414-352-3100 Fax: 414-247-4597
April Zhang, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-805-5320 Fax: 414-805-5323
Tracy L Donahue, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2350 N Lake Dr, Suite 300, Milwaukee, WI 53211 Phone: 414-298-7100 Fax: 414-298-7101
Shanthi Narla, Dermatology Medicare: Medicare Enrolled Practice Location: 9200 W Wisconsin Avenue, Dermatology, Milwaukee, WI 53226 Phone: 414-805-5320 Fax: 414-805-5323
Dr. Gaurav Singh, M.D., M.P.H. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2600 N Mayfair Rd Ste 810, Milwaukee, WI 53226 Phone: 414-771-1122 Fax: 414-771-1352
Namita Jain, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3003 W Good Hope Rd Ste 1-200, Milwaukee, WI 53209 Phone: 414-352-3100

Stephen Raymond Humphrey, - Medicare Dermatology in Milwaukee, WI