Stephen P Fox, MD - Medicare Ophthalmology in Spencer, IA

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Stephen P Fox, MD is a medicare enrolled "Ophthalmology" physician in Spencer, Iowa. He went to Indiana University School Of Medicine and graduated in 1993 and has 31 years of diverse experience with area of expertise as Ophthalmology. He is a member of the group practice Wolfe Clinic Inc and his current practice location is 1200 1st Ave E, Suite A, Spencer, Iowa. You can reach out to his office (for appointments etc.) via phone at (800) 542-7956.

Stephen P Fox is licensed to practice in Iowa (license number 38105) 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 1548221328.

Contact Information

Stephen P Fox, MD
1200 1st Ave E, Suite A,
Spencer, IA 51301-4342
(800) 542-7956
(641) 754-6245

Map and Direction




Physician's Profile

Full NameStephen P Fox
GenderMale
SpecialityOphthalmology
Experience31 Years
Location1200 1st Ave E, Spencer, Iowa
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:
  • Stephen P Fox attended and graduated from Indiana University School Of Medicine in 1993
  NPI Data:
  • NPI Number: 1548221328
  • Provider Enumeration Date: 03/31/2006
  • Last Update Date: 10/19/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 0244257129
  • Enrollment ID: I20081204000321

Medical Identifiers

Medical identifiers for Stephen P Fox such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548221328NPI-NPPES
06170OtherIAWELLMARK BLUE CROSS BLUE SHIELD
0061705MedicaidIA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207W00000XOphthalmology 38105 (Iowa)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Spencer Municipal HospitalSpencer, IAHospital
Lakes Regional HealthcareSpirit lake, IAHospital
Buena Vista Regional Medical CenterStorm lake, IAHospital
Avera Holy Family HospitalEstherville, IAHospital
Cherokee Regional Medical CenterCherokee, IAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Wolfe Clinic Inc862897929147

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. Stephen P Fox allows following entities to bill medicare on his behalf.
Entity NameWolfe Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477532174
PECOS PAC ID: 8628979291
Enrollment ID: O20040116000276

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. Stephen P Fox 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
Stephen P Fox, MD
309 E Church St,
Marshalltown, IA 50158-2946

Ph: (641) 754-6200		Stephen P Fox, MD
1200 1st Ave E, Suite A,
Spencer, IA 51301-4342

Ph: (800) 542-7956

Reviews and Comments


Ophthalmology Doctors in Spencer, IA

Dr. John Arthur Vaubel, M.D.
Ophthalmology
Medicare: Not Enrolled in Medicare
Practice Location: 8 W 5th St, Spencer, IA 51301
Phone: 712-262-3496    Fax: 712-262-2309
Dennis Dewayne Gordy, MD
Ophthalmology
Medicare: Not Enrolled in Medicare
Practice Location: 1721 W 18th St, Spencer, IA 51301
Phone: 712-262-8878    Fax: 712-262-8807

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.