Stephanie Jane Rudow, LMSW, CAADC is a medicare enrolled "Social Worker - Clinical" provider in Lapeer, Michigan. Her current practice location is
1570 Suncrest Dr, Lapeer, Michigan. You can reach out to her office (for appointments etc.) via phone at
(810) 667-0500.
Stephanie Jane Rudow is licensed to practice in Michigan (license number ) 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 1841625076.
Healthcare Provider's Profile
Full Name | Stephanie Jane Rudow |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 1570 Suncrest Dr, Lapeer, Michigan |
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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: 1841625076
- Provider Enumeration Date: 09/06/2013
- Last Update Date: 08/07/2018
Medicare PECOS Information:
- PECOS PAC ID: 7618237231
- Enrollment ID: I20180130002104
Medical Identifiers
Medical identifiers for Stephanie Jane Rudow such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1841625076 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | (Michigan) | Secondary |
1041C0700X | Social Worker - Clinical | (Michigan) | 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. Stephanie Jane Rudow allows following entities to bill medicare on her behalf.
Entity Name | County Of Lapeer |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1275585929 PECOS PAC ID: 4183533193 Enrollment ID: O20040504000440 |
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Entity Name | Sacred Heart Rehabilitation Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1104959493 PECOS PAC ID: 5395771240 Enrollment ID: O20050712000553 |
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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. Stephanie Jane Rudow 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 |
Stephanie Jane Rudow, LMSW, CAADC 505 E. Mill St., Capac, MI 48014 Ph: (586) 372-1939 | Stephanie Jane Rudow, LMSW, CAADC 1570 Suncrest Dr, Lapeer, MI 48446 Ph: (810) 667-0500 |
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