Marie D Ibarra Stafford, LPC in De Pere, WI - Medicare Counselor Provider

Marie D Ibarra Stafford, LPC is a medicare enrolled "Counselor - Mental Health" provider in De Pere, Wisconsin. Her current practice location is 3860 Monroe Rd, De Pere, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 496-4700.

Marie D Ibarra Stafford is licensed to practice in Wisconsin (license number 6156-125) 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 1043763956.

Contact Information

	Marie D Ibarra Stafford, LPC
	3860 Monroe Rd, De Pere, WI 54115-8399
	(920) 496-4700
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Marie D Ibarra Stafford
Gender	Female
Speciality	Counselor - Mental Health
Location	3860 Monroe Rd, De Pere, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043763956
Provider Enumeration Date: 07/27/2016
Last Update Date: 03/14/2024

Medicare PECOS Information:

PECOS PAC ID: 6204288863
Enrollment ID: I20240118003864

Medical Identifiers

Medical identifiers for Marie D Ibarra Stafford such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043763956	NPI	-	NPPES
100058688	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	6156-125 (Wisconsin)	Primary
101YP2500X	Counselor - Professional	6156-125 (Wisconsin)	Secondary

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. Marie D Ibarra Stafford allows following entities to bill medicare on her behalf.

Entity Name	St. Nicholas Hospital-sisters Of The Third Order Of St Francis
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275799413 PECOS PAC ID: 8325931652 Enrollment ID: O20040202001172

Entity Name	St Vincent Hospital-hospital Sisters-third Order Of St Francis
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285613638 PECOS PAC ID: 5799694675 Enrollment ID: O20080620000423

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. Marie D Ibarra Stafford 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
Marie D Ibarra Stafford, LPC Po Box 19070, Green Bay, WI 54307-9070 Ph: (920) 496-4700	Marie D Ibarra Stafford, LPC 3860 Monroe Rd, De Pere, WI 54115-8399 Ph: (920) 496-4700

Reviews and Comments

Counselor in De Pere, WI

Craig Linzmeier, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1511 W Main Ave, Suite 100, De Pere, WI 54115 Phone: 920-403-7600 Fax: 920-403-7360
Cassandra Vanstraten, LPC Counselor Medicare: Medicare Enrolled Practice Location: 3860 Monroe Rd, De Pere, WI 54115 Phone: 920-496-4700
Mrs. Carole M St.laurent-groves, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1325 Angels Path Rd, De Pere, WI 54115 Phone: 920-338-2855 Fax: 920-338-9270
Andrew Johnson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 416 George St Ste B12, De Pere, WI 54115 Phone: 920-340-0939
Mr. Dan J Braaten, LMFT, SAC Counselor Medicare: Medicare Enrolled Practice Location: 3860 Monroe Rd, De Pere, WI 54115 Phone: 920-496-4700
Stephanie Prevost, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 3860 Monroe Rd, De Pere, WI 54115 Phone: 920-496-4700

Marie D Ibarra Stafford, LPC - Medicare Counselor in De Pere, WI