Stefan Menchinger, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Detroit, Michigan. His current practice location is
2799 W Grand Blvd, Detroit, Michigan. You can reach out to his office (for appointments etc.) via phone at
(616) 821-4091.
Stefan Menchinger is licensed to practice in Michigan (license number 4301517605) 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 1255906764.
Physician's Profile
| Full Name | Stefan Menchinger |
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| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 2799 W Grand Blvd, Detroit, Michigan |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1255906764
- Provider Enumeration Date: 05/26/2021
- Last Update Date: 05/31/2026
Medicare PECOS Information:
- PECOS PAC ID: 7113328469
- Enrollment ID: I20240205003215
Medical Identifiers
Medical identifiers for Stefan Menchinger such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1255906764 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2085R0202X | Radiology - Diagnostic Radiology | 4351047904 (Michigan) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | 4301517605 (Michigan) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (New Mexico) | Secondary |
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. Stefan Menchinger 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 |
Stefan Menchinger, MD 1265 Washington Blvd Apt 1506, Detroit, MI 48226-1967 Ph: (505) 272-2269 | Stefan Menchinger, MD 2799 W Grand Blvd, Detroit, MI 48202-2689 Ph: (616) 821-4091 |
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