Sean Rayl Stephenson, DO - Medicare General Practice in Fenton, MI

Sean Rayl Stephenson, DO is a medicare enrolled "General Practice" physician in Fenton, Michigan. His current practice location is 305 N Leroy St, Fenton, Michigan. You can reach out to his office (for appointments etc.) via phone at (810) 629-0336.

Sean Rayl Stephenson is licensed to practice in Michigan (license number 5101016669) 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 1942219621.

Contact Information

Sean Rayl Stephenson, DO
305 N Leroy St,
Fenton, MI 48430-2729
(810) 629-0336
(810) 629-7251



Physician's Profile

Full NameSean Rayl Stephenson
GenderMale
SpecialityGeneral Practice
Location305 N Leroy St, Fenton, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1942219621
  • Provider Enumeration Date: 08/05/2006
  • Last Update Date: 04/30/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 1658476031
  • Enrollment ID: I20070412000573

Medical Identifiers

Medical identifiers for Sean Rayl Stephenson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942219621NPI-NPPES
114917050MedicaidMI
114917041MedicaidMI
114917097MedicaidMI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice 5101016669 (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. Sean Rayl Stephenson allows following entities to bill medicare on his behalf.
Entity NameMclaren Oakland
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053463778
PECOS PAC ID: 0547173213
Enrollment ID: O20031111000770

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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. Sean Rayl 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
Sean Rayl Stephenson, DO
305 N Leroy St,
Fenton, MI 48430-2729

Ph: (810) 629-0336
Sean Rayl Stephenson, DO
305 N Leroy St,
Fenton, MI 48430-2729

Ph: (810) 629-0336

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General Practice Doctors in Fenton, MI

Dr. Larry Joe Segroves, D.O.
General Practice
Medicare: Not Enrolled in Medicare
Practice Location: 12223 Windchill Way, Fenton, MI 48430
Phone: 810-629-9828    

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