Dr Nicholas Alexander Stephanoff, MD in Grand Rapids, MI - Medicare Family Practice

Dr Nicholas Alexander Stephanoff, MD is a medicare enrolled "Family Medicine" physician in Grand Rapids, Michigan. He went to Wayne State University School Of Medicine and graduated in 2011 and has 13 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Spectrum Health Primary Care Partners and his current practice location is 426 Michigan St Ne, Grand Rapids, Michigan. You can reach out to his office (for appointments etc.) via phone at (616) 267-7888.

Dr Nicholas Alexander Stephanoff is licensed to practice in Michigan (license number 4301099542) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1033407689.

Contact Information

	Dr Nicholas Alexander Stephanoff, MD
	426 Michigan St Ne, Grand Rapids, MI 49503-5609
	(616) 267-7888
	Not Available

Physician's Profile

Full Name	Dr Nicholas Alexander Stephanoff
Gender	Male
Speciality	Family Practice
Experience	13 Years
Location	426 Michigan St Ne, Grand Rapids, Michigan
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Nicholas Alexander Stephanoff attended and graduated from Wayne State University School Of Medicine in 2011

NPI Data:

NPI Number: 1033407689
Provider Enumeration Date: 07/18/2011
Last Update Date: 03/02/2021

Medicare PECOS Information:

PECOS PAC ID: 8325362445
Enrollment ID: I20180925002720

Medical Identifiers

Medical identifiers for Dr Nicholas Alexander Stephanoff such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033407689	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	MD2014-0512 (New Mexico)	Secondary
207Q00000X	Family Medicine	4301099542 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Spectrum Health	Grand rapids, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Spectrum Health Primary Care Partners	4587568647	1585

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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. Dr Nicholas Alexander Stephanoff allows following entities to bill medicare on his behalf.

Entity Name	Spectrum Health Primary Care Partners
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235188673 PECOS PAC ID: 4587568647 Enrollment ID: O20031121000091

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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. Dr Nicholas Alexander Stephanoff 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
Dr Nicholas Alexander Stephanoff, MD 100 Michigan St Ne # Mc845, Grand Rapids, MI 49503-2560 Ph: () -	Dr Nicholas Alexander Stephanoff, MD 426 Michigan St Ne, Grand Rapids, MI 49503-5609 Ph: (616) 267-7888

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Family Medicine Doctors in Grand Rapids, MI

Tammy Born Huizenga, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3700 52nd St Se, Grand Rapids, MI 49512 Phone: 616-656-3700 Fax: 616-656-3701
Kristi Kern, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4300 Cascade Rd Se, Grand Rapids, MI 49546 Phone: 616-252-1500 Fax: 616-252-1599
Melody L Fitzer, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2700 Blackberry Ln Ne, Grand Rapids, MI 49525 Phone: 616-361-8697
Leslie Ann Schulte, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2249 Wealthy St Se Ste 110, Grand Rapids, MI 49506 Phone: 616-391-4600
Lucas Patrick Friedli, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 4100 Lake Dr Se Ste B01, Grand Rapids, MI 49546 Phone: 616-267-7400
Michael J Septer, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6735 Cascade Rd Se, Suite 300, Grand Rapids, MI 49546 Phone: 616-956-9400 Fax: 616-956-9708
Dr. Suzanne Michelle West, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3800 Lake Michigan Dr Nw, Ste. A, Grand Rapids, MI 49534 Phone: 616-267-8225

Dr Nicholas Alexander Stephanoff, MD - Medicare Family Practice in Grand Rapids, MI

Contact Information

Physician's Profile

Medical Identifiers

Medical Taxonomies and Licenses

Medical Facilities Affiliation

Group Practice Association

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MTD Products and AHA team up to promote heart health and winter safety

Ventas receives court ruling to collect $102 million from judgment against HCP

Quantum Materials achieves 95% QY for Green Tetrapod Quantum Dots production

Medicare Reassignments

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Ventas receives court ruling to collect $102 million from judgment against HCP

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Medicare Part D Prescriber Enrollment

Mailing Address and Practice Location

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Family Medicine Doctors in Grand Rapids, MI