Mrs Stephanie Joy Mestery, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Fargo, North Dakota. Her current practice location is
6046 14th St S, Fargo, North Dakota. You can reach out to her office (for appointments etc.) via phone at
(701) 404-0997.
Mrs Stephanie Joy Mestery is licensed to practice in North Dakota (license number 3516) 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 1770936254.
Healthcare Provider's Profile
Full Name | Mrs Stephanie Joy Mestery |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 6046 14th St S, Fargo, North Dakota |
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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: 1770936254
- Provider Enumeration Date: 07/19/2016
- Last Update Date: 10/05/2021
Medicare PECOS Information:
- PECOS PAC ID: 5890027064
- Enrollment ID: I20191022001080
Medical Identifiers
Medical identifiers for Mrs Stephanie Joy Mestery such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1770936254 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | 3516 (North Dakota) | Secondary |
1041C0700X | Social Worker - Clinical | 3516 (North Dakota) | 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 Stephanie Joy Mestery allows following entities to bill medicare on her behalf.
Entity Name | Sjm Counseling Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1639760937 PECOS PAC ID: 4385051978 Enrollment ID: O20210326000987 |
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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 Stephanie Joy Mestery 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 Stephanie Joy Mestery, LICSW 6046 14th St S, Fargo, ND 58104-7340 Ph: (701) 404-0997 | Mrs Stephanie Joy Mestery, LICSW 6046 14th St S, Fargo, ND 58104-7340 Ph: (701) 404-0997 |
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