Dr Stephen Mark Spielman, MD - Medicare Internal Medicine in Edmond, OK

Dr Stephen Mark Spielman, MD is a medicare enrolled "Internal Medicine - Interventional Cardiology" physician in Edmond, Oklahoma. His current practice location is 15508 Laguna Dr, Edmond, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (405) 702-3680.

Dr Stephen Mark Spielman is licensed to practice in Oklahoma (license number 12906) 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 1831186881.

Contact Information

Dr Stephen Mark Spielman, MD
15508 Laguna Dr,
Edmond, OK 73013-8925
(405) 702-3680
Not Available

Map and Direction




Physician's Profile

Full NameDr Stephen Mark Spielman
GenderMale
SpecialityInternal Medicine - Interventional Cardiology
Location15508 Laguna Dr, Edmond, Oklahoma
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1831186881
  • Provider Enumeration Date: 10/04/2005
  • Last Update Date: 11/06/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 3779552526
  • Enrollment ID: I20040928001042

Medical Identifiers

Medical identifiers for Dr Stephen Mark Spielman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1831186881NPI-NPPES
060066545OtherOKRAILROAD MEDICARE
100199090EMedicaidOK

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0000XInternal Medicine - Cardiovascular Disease 12906 (Oklahoma)Secondary
207RI0011XInternal Medicine - Interventional Cardiology 12906 (Oklahoma)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. Dr Stephen Mark Spielman allows following entities to bill medicare on his behalf.
Entity NameMercy Hospital Oklahoma City, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922192186
PECOS PAC ID: 8022920982
Enrollment ID: O20031110000161

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 Stephen Mark Spielman 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
Dr Stephen Mark Spielman, MD
15508 Laguna Dr,
Edmond, OK 73013-8925

Ph: () -
Dr Stephen Mark Spielman, MD
15508 Laguna Dr,
Edmond, OK 73013-8925

Ph: (405) 702-3680

Reviews and Comments


Internal Medicine Doctors in Edmond, OK

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Phone: 405-715-2000    Fax: 405-715-2010
Jeremy Brandon Moad, M.D
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Practice Location: 105 S Bryant Ave Ste 104, Edmond, OK 73034
Phone: 405-715-2022    Fax: 405-715-2905

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.