Stefani Bissonette, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Douglas, Wyoming. She went to University Of Washington School Of Medicine and graduated in 2016 and has 8 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Summit Ob Gyn Pc and her current practice location is
700 E Center St, Douglas, Wyoming. You can reach out to her office (for appointments etc.) via phone at
(307) 358-7300.
Stefani Bissonette is licensed to practice in Wyoming (license number 13011A) 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 1407200660.
Physician's Profile
| Full Name | Stefani Bissonette |
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| Gender | Female |
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| Speciality | Obstetrics/gynecology |
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| Experience | 8 Years |
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| Location | 700 E Center St, Douglas, Wyoming |
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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. |
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Medical Education and Training:
- Stefani Bissonette attended and graduated from University Of Washington School Of Medicine in 2016
NPI Data:
- NPI Number: 1407200660
- Provider Enumeration Date: 04/14/2016
- Last Update Date: 11/22/2023
Medicare PECOS Information:
- PECOS PAC ID: 8527350495
- Enrollment ID: I20200805000423
Medical Identifiers
Medical identifiers for Stefani Bissonette such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1407200660 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207V00000X | Obstetrics & Gynecology | 13011A (Wyoming) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Summit Ob Gyn Pc | 6608162029 | 4 |
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. Stefani Bissonette allows following entities to bill medicare on her behalf.
| Entity Name | Memorial Hospital Of Converse County |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1356496491
PECOS PAC ID: 2264340843
Enrollment ID: O20031203000672 |
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| Entity Name | Summit Ob Gyn Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1942664107
PECOS PAC ID: 6608162029
Enrollment ID: O20160912001813 |
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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. Stefani Bissonette 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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Stefani Bissonette, MD
700 E Center St,
Douglas, WY 82633-2446
Ph: (307) 358-7300 | Stefani Bissonette, MD
700 E Center St,
Douglas, WY 82633-2446
Ph: (307) 358-7300 |
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