STEFAN W RADKE MA
NPI 1508449463
Case Manager/Care Coordinator in Auburn Hills, MI
NPI Status: Active since April 29, 2021
Contact Information
2399 E WALTON BLVD
AUBURN HILLS, MI
ZIP 48326
Phone: (586) 864-2135
- Individual
- Male
- Years of Experience 5
- Case Manager/Care Coordinator
- Accepts Insurance
- May Accept Medicare Approved Payment
- PECOS Enrolled
About STEFAN RADKE
This page provides the complete NPI Profile along with additional information for Stefan Radke, a provider established in Auburn Hills, Michigan with a medical specialization in Case Manager/care Coordinator and more than 5 years of experience. He graduated from Oakland Univ, William Beaumont School Of Medicine in 2021. The healthcare provider is registered in the NPI registry with number 1508449463 assigned on April 2021. The practitioner's primary taxonomy code is 171M00000X with license number 171M00000X (MI). The provider is registered as an individual and his NPI record was last updated 5 years ago.
- NPI
- 1508449463
- Provider Name
- STEFAN W RADKE MA
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2399 E WALTON BLVD AUBURN HILLS, MI 48326
- Location Phone
- (586) 864-2135
- Mailing Address
- 2399 E WALTON BLVD AUBURN HILLS, MI 48326
- Mailing Phone
- (586) 864-2135
- Medical School Name
- OAKLAND UNIV, WILLIAM BEAUMONT SCHOOL OF MEDICINE
- Graduation Year
- 2021
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-29-2021
- Last Update Date
- 04-29-2021
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Case Manager/Care Coordinator
- Taxonomy Code
- 171M00000X
- Type
- Other Service Providers
- License No.
- 171M00000X
- License State
- MI
- Taxonomy Description
- A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- MHP Bronze - HMO
- MHP Bronze Saver (Expanded) - HMO
- MHP Expanded Bronze Standard - HMO
- MHP Gold - HMO
- MHP Gold Standard - HMO
- MHP Silver Exchange - HMO
- MHP Silver Exchange Rewards - HMO
- MHP Silver Standard - HMO
- MHP Young Adult/Catastrophic - HMO
- Bronze Classic 4700 - EPO
- Bronze Classic Standard - EPO
- Bronze Elite + PCP Saver Plus - EPO
- Gold Classic Standard - EPO
- Gold Elite Saver Plus - EPO
- Silver Classic - EPO
- Silver Classic Standard - EPO
- Silver Simple PCP Saver - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Stefan Radke is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.
Stefan Radke is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 8224534813
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20251002001525
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Maybe
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Reviews for STEFAN W RADKE MA
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1508449463, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 67 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
AUBURN HILLS, MI 48326
AUBURN HILLS, MI 48326
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1508449463, enumerated as an "individual" on April 29, 2021.
The provider is located at 2399 E WALTON BLVD AUBURN HILLS, MI 48326 and the phone number is (586) 864-2135.
Case Manager/Care Coordinator with taxonomy code 171M00000X.
The provider might be accepting Accepts: McLaren Health Plan Community and Oscar Insurance. Please consult your insurance carrier or call the provider to verify.
