Maxwell Stephenson, - Medicare Emergency Medicine in Roseville, CA

Maxwell Stephenson, is a medicare enrolled "Emergency Medicine" physician in Roseville, California. His current practice location is 1600 Eureka Road, Medical Office Building C, 4th Floor, Roseville, California. You can reach out to his office (for appointments etc.) via phone at (916) 474-6590.

Maxwell Stephenson is licensed to practice in California (license number A157080) 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 1417338401.

Contact Information

Maxwell Stephenson,
1600 Eureka Road, Medical Office Building C, 4th Floor,
Roseville, CA 95661-2200
(916) 474-6590
Not Available



Physician's Profile

Full NameMaxwell Stephenson
GenderMale
SpecialityEmergency Medicine
Location1600 Eureka Road, Roseville, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1417338401
  • Provider Enumeration Date: 06/15/2015
  • Last Update Date: 01/30/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4789086174
  • Enrollment ID: I20210707003331

Medical Identifiers

Medical identifiers for Maxwell Stephenson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417338401NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine A157080 (California)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. Maxwell Stephenson allows following entities to bill medicare on his behalf.
Entity NamePermanente Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710

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Entity NameCep America - California
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023063542
PECOS PAC ID: 6103739131
Enrollment ID: O20031106000520

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Entity NameRegents Of The Univ Of Ca
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013906973
PECOS PAC ID: 3375456619
Enrollment ID: O20031111000892

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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. Maxwell Stephenson 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
Maxwell Stephenson,
1600 Eureka Road, Medical Office Building C, 4th Floor,
Roseville, CA 95661-2200

Ph: (916) 474-6590
Maxwell Stephenson,
1600 Eureka Road, Medical Office Building C, 4th Floor,
Roseville, CA 95661-2200

Ph: (916) 474-6590

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Emergency Medicine Doctors in Roseville, CA

John Paul Youssry Kelada, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 680 Sunrise Ave, Roseville, CA 95661
Phone: 916-786-4700    Fax: 916-786-3912
Dr. Jennifer Winnie Chou, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1600 Eureka Rd, Roseville, CA 95661
Phone: 916-784-4000    
Joseph Regis Quinn, M.D
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1 Medical Plaza Dr, Roseville, CA 95661
Phone: 916-781-1000    
Pradeep Johns, DO
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1600 Eureka Rd, Roseville, CA 95661
Phone: 916-474-6352    
Gregory P. Ouligian, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1 Medical Plaza Dr, Roseville, CA 95661
Phone: 916-781-1000    
Casey Roche,
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1600 Eureka Rd, Roseville, CA 95661
Phone: 916-784-4000    
Terrence Horan, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1600 Eureka Rd, Roseville, CA 95661
Phone: 916-784-4000    

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