Ms Stacy Allison Triumph, MSS, MLSP, HSV, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Columbus, New Jersey. Her current practice location is
19 Georgetown Rd, Columbus, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(267) 931-8824.
Ms Stacy Allison Triumph is licensed to practice in Delaware (license number Q1-0012060) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1952846610.
Healthcare Provider's Profile
| Full Name | Ms Stacy Allison Triumph |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 19 Georgetown Rd, Columbus, New Jersey |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1952846610
- Provider Enumeration Date: 01/04/2017
- Last Update Date: 11/06/2023
Medicare PECOS Information:
- PECOS PAC ID: 7214394881
- Enrollment ID: I20230613002359
Medical Identifiers
Medical identifiers for Ms Stacy Allison Triumph such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1952846610 | NPI | - | NPPES |
| CW019266 | Other | PA | LICENSED CLINICAL SOCIAL WORKER |
| 44SC05722600 | Other | NJ | LICENSED CLINICAL SOCIAL WORKER |
| Q1-0012060 | Other | DE | LICENSED CLINICAL SOCIAL WORKER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | 44SC05722600 (New Jersey) | Secondary |
| 1041C0700X | Social Worker - Clinical | CW019266 (Pennsylvania) | Secondary |
| 1041S0200X | Social Worker - School | 8685654 (Pennsylvania) | Secondary |
| 1041S0200X | Social Worker - School | 804372 (New Jersey) | Secondary |
| 1041C0700X | Social Worker - Clinical | Q1-0012060 (Delaware) | Primary |
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. Ms Stacy Allison Triumph allows following entities to bill medicare on her behalf.
| Entity Name | Regional Womens Health Group Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1548215536
PECOS PAC ID: 2961316328
Enrollment ID: O20040420000034 |
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| Entity Name | New Jersey Behavioral Health Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1538744297
PECOS PAC ID: 4284001025
Enrollment ID: O20221108000033 |
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| Entity Name | Grow Healthcare Group Of New Jersey Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1841949328
PECOS PAC ID: 5193194835
Enrollment ID: O20221220000110 |
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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. Ms Stacy Allison Triumph 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 |
|---|
Ms Stacy Allison Triumph, MSS, MLSP, HSV, LCSW
45 E City Ave # 1954,
Bala Cynwyd, PA 19004-2421
Ph: (267) 931-8824 | Ms Stacy Allison Triumph, MSS, MLSP, HSV, LCSW
19 Georgetown Rd,
Columbus, NJ 08022
Ph: (267) 931-8824 |
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