Stephanie Skavdahl, LISW-S is a medicare enrolled "Social Worker - Clinical" provider in Cincinnati, Ohio. Her current practice location is
6527 Colerain Ave, Cincinnati, Ohio. You can reach out to her office (for appointments etc.) via phone at
(513) 834-7063.
Stephanie Skavdahl is licensed to practice in Kentucky (license number 253845) 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 1568946259.
Healthcare Provider's Profile
Full Name | Stephanie Skavdahl |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 6527 Colerain Ave, Cincinnati, Ohio |
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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: 1568946259
- Provider Enumeration Date: 09/19/2018
- Last Update Date: 07/03/2024
Medicare PECOS Information:
- PECOS PAC ID: 6002146792
- Enrollment ID: I20190923002657
Medical Identifiers
Medical identifiers for Stephanie Skavdahl such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1568946259 | NPI | - | NPPES |
0364702 | Medicaid | OH | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | I.1700752 (Ohio) | Secondary |
101Y00000X | Counselor | 7422 (Kentucky) | Secondary |
104100000X | Social Worker | I.1700752 (Ohio) | Secondary |
1041C0700X | Social Worker - Clinical | 253845 (Kentucky) | 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 Skavdahl allows following entities to bill medicare on her behalf.
Entity Name | Children's Hospital Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1609915784 PECOS PAC ID: 8426955733 Enrollment ID: O20031216000035 |
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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 Skavdahl 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 Skavdahl, LISW-S 446 Morgan St, Cincinnati, OH 45206-2348 Ph: (513) 834-7063 | Stephanie Skavdahl, LISW-S 6527 Colerain Ave, Cincinnati, OH 45239-5537 Ph: (513) 834-7063 |
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