Samuel R Stevens, MD - Medicare Family Practice in Jackson, WI

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Samuel R Stevens, MD is a medicare enrolled "Family Medicine" physician in Jackson, Wisconsin. He went to Medical College Of Wisconsin and graduated in 2017 and has 9 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Froedtert Andthe Medical College Of Wisconsin Community Physicians Inc and his current practice location is W225n16711 Cedar Park Ct, Jackson, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 677-1101.

Samuel R Stevens is licensed to practice in Wisconsin (license number 70288-20) 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 1306379698.

Contact Information

Samuel R Stevens, MD
W225n16711 Cedar Park Ct,
Jackson, WI 53037-9222
(262) 677-1101
Not Available

Map and Direction




Physician's Profile

Full NameSamuel R Stevens
GenderMale
SpecialityFamily Practice
Experience9 Years
LocationW225n16711 Cedar Park Ct, Jackson, Wisconsin
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Samuel R Stevens attended and graduated from Medical College Of Wisconsin in 2017
  NPI Data:
  • NPI Number: 1306379698
  • Provider Enumeration Date: 04/04/2017
  • Last Update Date: 06/30/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 9436487253
  • Enrollment ID: I20200928003167

Medical Identifiers

Medical identifiers for Samuel R Stevens such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306379698NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 70288-20 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Horizon Home Care And HospiceMilwaukee, WIHome health agency
St Josephs Community Hospital West BendWest bend, WIHospital
Community Memorial HospitalMenomonee falls, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Froedtert Andthe Medical College Of Wisconsin Community Physicians Inc36787600631105

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. Samuel R Stevens allows following entities to bill medicare on his behalf.
Entity NameFroedtert &the Medical College Of Wisconsin Community Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568787448
PECOS PAC ID: 3678760063
Enrollment ID: O20101210000699

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. Samuel R 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 AddressPractice Location Address
Samuel R Stevens, MD
W225n16711 Cedar Park Ct,
Jackson, WI 53037-9222

Ph: (262) 677-1101		Samuel R Stevens, MD
W225n16711 Cedar Park Ct,
Jackson, WI 53037-9222

Ph: (262) 677-1101

Reviews and Comments


Family Medicine Doctors in Jackson, WI

Diane M Witek, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: W225n16711 Cedar Park Ct, Jackson, WI 53037
Phone: 262-677-1101    Fax: 262-306-2964
Dr. Christina Marie Rutsch, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: W225n16711 Cedar Park Ct, Jackson, WI 53037
Phone: 262-677-1101    

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.