Stephanie L Beacham, MS RDN LD is a medicare enrolled "Dietitian, Registered" provider in La Porte, Texas. Her current practice location is
9823 N P St, La Porte, Texas. You can reach out to her office (for appointments etc.) via phone at
(270) 875-5528.
Stephanie L Beacham is licensed to practice in Texas (license number DT86523) 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 1083322903.
Healthcare Provider's Profile
| Full Name | Stephanie L Beacham |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 9823 N P St, La Porte, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1083322903
- Provider Enumeration Date: 11/09/2022
- Last Update Date: 05/08/2023
Medicare PECOS Information:
- PECOS PAC ID: 0547639197
- Enrollment ID: I20221205000155
Medical Identifiers
Medical identifiers for Stephanie L Beacham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1083322903 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | DT86523 (Texas) | 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 L Beacham allows following entities to bill medicare on her behalf.
| Provider Name | The Harris Center For Mental Health And Idd |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1346293156
PECOS PAC ID: 9739088790
Enrollment ID: O20040108000251 |
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| Provider Name | American Health Assessments, Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1497027098
PECOS PAC ID: 3870755564
Enrollment ID: O20120425000323 |
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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 L Beacham 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 L Beacham, MS RDN LD
9823 N P St,
La Porte, TX 77571-9425
Ph: (270) 875-5528 | Stephanie L Beacham, MS RDN LD
9823 N P St,
La Porte, TX 77571-9425
Ph: (270) 875-5528 |
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