Dr Stephanie Suprenant, MD is a medicare enrolled "Plastic Surgery" physician in Missoula, Montana. She went to Southern Illinois University School Of Medicine and graduated in 2012 and has 12 years of diverse experience with area of expertise as Plastic And Reconstructive Surgery. Her current practice location is
500 W Broadway St Fl 5, Missoula, Montana. You can reach out to her office (for appointments etc.) via phone at
(406) 370-1600.
Dr Stephanie Suprenant is licensed to practice in Montana (license number 70012) 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 1508122938.
Physician's Profile
Full Name | Dr Stephanie Suprenant |
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Gender | Female |
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Speciality | Plastic And Reconstructive Surgery |
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Experience | 12 Years |
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Location | 500 W Broadway St Fl 5, Missoula, Montana |
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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. |
Medical Education and Training:
- Dr Stephanie Suprenant attended and graduated from Southern Illinois University School Of Medicine in 2012
NPI Data:
- NPI Number: 1508122938
- Provider Enumeration Date: 04/10/2012
- Last Update Date: 09/06/2023
Medicare PECOS Information:
- PECOS PAC ID: 9931322302
- Enrollment ID: I20190401001922
Medical Identifiers
Medical identifiers for Dr Stephanie Suprenant such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508122938 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208200000X | Plastic Surgery | 62485 (Wisconsin) | Secondary |
208200000X | Plastic Surgery | 70012 (Montana) | Primary |
Medical Facilities Affiliation
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. Dr Stephanie Suprenant allows following entities to bill medicare on her behalf.
Entity Name | Rchp Billings - Missoula Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1376946913 PECOS PAC ID: 8426370842 Enrollment ID: O20150312000492 |
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Entity Name | Wellspring Health And Aesthetics Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1487339750 PECOS PAC ID: 6709240096 Enrollment ID: O20230920000697 |
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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. Dr Stephanie Suprenant 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 |
Dr Stephanie Suprenant, MD 500 W Broadway St Fl 5, Missoula, MT 59802-4008 Ph: (406) 370-1600 | Dr Stephanie Suprenant, MD 500 W Broadway St Fl 5, Missoula, MT 59802-4008 Ph: (406) 370-1600 |
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