Zachary Thomas Stine, PSYD is a medicare enrolled "Psychologist" provider in Milwaukie, Oregon. His current practice location is
6400 Se Lake Rd Ste 325, Milwaukie, Oregon. You can reach out to his office (for appointments etc.) via phone at
(503) 786-1711.
Zachary Thomas Stine is licensed to practice in Oregon (license number 3796) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1194363945.
Healthcare Provider's Profile
Full Name | Zachary Thomas Stine |
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Gender | Male |
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Speciality | Psychologist |
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Location | 6400 Se Lake Rd Ste 325, Milwaukie, Oregon |
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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: 1194363945
- Provider Enumeration Date: 12/11/2019
- Last Update Date: 09/24/2024
Medicare PECOS Information:
- PECOS PAC ID: 4880125541
- Enrollment ID: I20241004001995
Medical Identifiers
Medical identifiers for Zachary Thomas Stine such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1194363945 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
103T00000X | Psychologist | 3796 (Oregon) | 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. Zachary Thomas Stine allows following entities to bill medicare on his behalf.
Entity Name | Cornerstone Clinical Services Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1093892895 PECOS PAC ID: 3274523378 Enrollment ID: O20040512000950 |
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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. Zachary Thomas Stine 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 |
Zachary Thomas Stine, PSYD 6400 Se Lake Rd Ste 325, Milwaukie, OR 97222-2185 Ph: (503) 786-1711 | Zachary Thomas Stine, PSYD 6400 Se Lake Rd Ste 325, Milwaukie, OR 97222-2185 Ph: (503) 786-1711 |
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