Individual ProviderStefan EichenauerPhysical Medicine & RehabilitationAllopathic & Osteopathic PhysiciansPractice Address4400 Broadway, Suite 540, Kansas City, MO 64111-3498(816) 531-4080(816) 502-7000PECOS EnrollmentBased on the most recent information from CMS, provider Stefan Eichenauer is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1598021479Provider TypeIndividualFull NameEichenauer, StefanCredentialM.D.GenderMaleSole ProprietorNoEnumeration Date4/5/2012Last Updated11/8/2017Contact InformationPractice LocationPractice Address4400 Broadway, Suite 540, Kansas City, MO 64111-3498Phone(816) 531-4080Fax(816) 932-6211Mailing LocationMailing Address901 E 104th St, Kansas City, MO 64131-4517Phone(816) 502-7000Fax(816) 932-9670Provider TaxonomiesCodeDescriptionLicenseCode208100000XPrimaryDescriptionPhysical Medicine & RehabilitationAllopathic & Osteopathic PhysiciansLicense2016023767MissouriCode208100000XDescriptionPhysical Medicine & RehabilitationAllopathic & Osteopathic PhysiciansLicense04-39027Kansas