Mrs Stacy Cotteleer, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Vancouver, Washington. Her current practice location is
5400 Ne 46th St, Vancouver, Washington. You can reach out to her office (for appointments etc.) via phone at
(360) 901-4678.
Mrs Stacy Cotteleer is licensed to practice in Washington (license number LW60557162) 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 1760916639.
Healthcare Provider's Profile
Full Name | Mrs Stacy Cotteleer |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 5400 Ne 46th St, Vancouver, Washington |
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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: 1760916639
- Provider Enumeration Date: 04/17/2017
- Last Update Date: 08/16/2023
Medicare PECOS Information:
- PECOS PAC ID: 0547625873
- Enrollment ID: I20230420001252
Medical Identifiers
Medical identifiers for Mrs Stacy Cotteleer such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1760916639 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | LW60557162 (Washington) | Secondary |
1041C0700X | Social Worker - Clinical | LW60557162 (Washington) | 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. Mrs Stacy Cotteleer allows following entities to bill medicare on her behalf.
Entity Name | Peacehealth |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1134178999 PECOS PAC ID: 9739092065 Enrollment ID: O20031111000831 |
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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. Mrs Stacy Cotteleer 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 |
Mrs Stacy Cotteleer, LICSW 5400 Ne 46th St, Vancouver, WA 98661-2911 Ph: (360) 901-4678 | Mrs Stacy Cotteleer, LICSW 5400 Ne 46th St, Vancouver, WA 98661-2911 Ph: (360) 901-4678 |
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