Mrs Stephanie Walsh Roumiantseva, CRNP is a medicare enrolled "Family Medicine" physician in Tafton, Pennsylvania. Her current practice location is
132 Manly Rd, Tafton, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(570) 226-2151.
Mrs Stephanie Walsh Roumiantseva is licensed to practice in Pennsylvania (license number SP025920) 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 1003540287.
Physician's Profile
Full Name | Mrs Stephanie Walsh Roumiantseva |
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Gender | Female |
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Speciality | Family Medicine |
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Location | 132 Manly Rd, Tafton, Pennsylvania |
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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: 1003540287
- Provider Enumeration Date: 07/13/2022
- Last Update Date: 07/11/2023
Medicare PECOS Information:
- PECOS PAC ID: 0143693549
- Enrollment ID: I20230321000375
Medical Identifiers
Medical identifiers for Mrs Stephanie Walsh Roumiantseva such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003540287 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | SP025920 (Pennsylvania) | 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. Mrs Stephanie Walsh Roumiantseva allows following entities to bill medicare on her behalf.
Entity Name | Wayne Memorial Community Health Centers |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1952395121 PECOS PAC ID: 3072598937 Enrollment ID: O20040623001109 |
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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. Mrs Stephanie Walsh Roumiantseva 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 |
Mrs Stephanie Walsh Roumiantseva, CRNP 601 Park St # 1445, Honesdale, PA 18431-1445 Ph: () - | Mrs Stephanie Walsh Roumiantseva, CRNP 132 Manly Rd, Tafton, PA 18464-7829 Ph: (570) 226-2151 |
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