Dr Stephanie Lynn Holt-dehner, PHD is a medicare enrolled "Psychologist - Clinical" provider in Peoria, Illinois. Her current practice location is
7717 N Orange Prairie Rd, Peoria, Illinois. You can reach out to her office (for appointments etc.) via phone at
(309) 589-6800.
Dr Stephanie Lynn Holt-dehner is licensed to practice in Illinois (license number 071007704) 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 1205034071.
Healthcare Provider's Profile
Full Name | Dr Stephanie Lynn Holt-dehner |
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Gender | Female |
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Speciality | Psychologist - Clinical |
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Location | 7717 N Orange Prairie Rd, Peoria, Illinois |
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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: 1205034071
- Provider Enumeration Date: 07/03/2007
- Last Update Date: 04/11/2013
Medicare PECOS Information:
- PECOS PAC ID: 4284871583
- Enrollment ID: I20130503000519
Medical Identifiers
Medical identifiers for Dr Stephanie Lynn Holt-dehner such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1205034071 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
103TC0700X | Psychologist - Clinical | 071007704 (Illinois) | Primary |
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. Dr Stephanie Lynn Holt-dehner 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 |
Dr Stephanie Lynn Holt-dehner, PHD 7717 N Orange Prairie Rd, Peoria, IL 61615-9323 Ph: (309) 589-6800 | Dr Stephanie Lynn Holt-dehner, PHD 7717 N Orange Prairie Rd, Peoria, IL 61615-9323 Ph: (309) 589-6800 |
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