Stephanie Marie Garrison, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Mill Creek, Washington. She graduated from healthcare school in 2010 and has 15 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Optum Care Washington Pllc and her current practice location is
15418 Main St, Mill Creek, Washington. You can reach out to her office (for appointments etc.) via phone at
(425) 339-5453.
Stephanie Marie Garrison is licensed to practice in Washington (license number PY60188217) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1558599274.
Healthcare Provider's Profile
| Full Name | Stephanie Marie Garrison |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 15 Years |
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| Location | 15418 Main St, Mill Creek, Washington |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Stephanie Marie Garrison graduated from medical school in 2010
NPI Data:
- NPI Number: 1558599274
- Provider Enumeration Date: 07/01/2009
- Last Update Date: 03/29/2016
Medicare PECOS Information:
- PECOS PAC ID: 9133390206
- Enrollment ID: I20110921000377
Medical Identifiers
Medical identifiers for Stephanie Marie Garrison such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1558599274 | NPI | - | NPPES |
| 2013263 | Medicaid | WA | |
| PY60188217 | Other | WA | LICENSE |
| LH60090936 | Other | WA | STATE LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | LH60090936 (Washington) | Secondary |
| 103TC0700X | Psychologist - Clinical | PY60188217 (Washington) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Optum Care Washington Pllc | 6406752153 | 559 |
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 Marie Garrison allows following entities to bill medicare on her behalf.
| Entity Name | Optum Care Washington Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1831186766
PECOS PAC ID: 6406752153
Enrollment ID: O20031211000922 |
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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 Marie Garrison 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 |
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Stephanie Marie Garrison, PSYD
Po Box 5127,
Everett, WA 98206-5127
Ph: (425) 258-3900 | Stephanie Marie Garrison, PSYD
15418 Main St,
Mill Creek, WA 98012-9030
Ph: (425) 339-5453 |
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