Mr Tommy Sogbafai Stevens, MD is a medicare enrolled "Family Medicine" provider in Burton, Michigan. His current practice location is
2298 S Center Rd, Burton, Michigan. You can reach out to his office (for appointments etc.) via phone at
(810) 742-2544.
Mr Tommy Sogbafai Stevens is licensed to practice in Michigan (license number TS039213) 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 1013960301.
Healthcare Provider's Profile
Full Name | Mr Tommy Sogbafai Stevens |
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Gender | Male |
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Speciality | Family Medicine |
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Location | 2298 S Center Rd, Burton, Michigan |
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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: 1013960301
- Provider Enumeration Date: 05/18/2006
- Last Update Date: 01/28/2014
Medicare PECOS Information:
- PECOS PAC ID: 9133251937
- Enrollment ID: I20100714000509
Medical Identifiers
Medical identifiers for Mr Tommy Sogbafai Stevens such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1013960301 | NPI | - | NPPES |
4328356 | Medicaid | MI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TF0000X | Psychologist - Family | TS039213 (Michigan) | Secondary |
207Q00000X | Family Medicine | TS039213 (Michigan) | 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. Mr Tommy Sogbafai Stevens allows following entities to bill medicare on his behalf.
Entity Name | Physician Coverage Services Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1669567806 PECOS PAC ID: 3678536398 Enrollment ID: O20041104000433 |
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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. Mr Tommy Sogbafai Stevens 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 |
Mr Tommy Sogbafai Stevens, MD 2298 S Center Rd, Burton, MI 48519-1166 Ph: (810) 742-2544 | Mr Tommy Sogbafai Stevens, MD 2298 S Center Rd, Burton, MI 48519-1166 Ph: (810) 742-2544 |
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