Stephanie Hautau, is a medicare enrolled "Family Medicine" physician in Wilmer, Alabama. Her current practice location is
6353 2nd St, Wilmer, Alabama. You can reach out to her office (for appointments etc.) via phone at
(251) 410-7425.
Stephanie Hautau is licensed to practice in Alabama (license number 1-154018) 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 1326804725.
Physician's Profile
Full Name | Stephanie Hautau |
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Gender | Female |
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Speciality | Family Medicine |
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Location | 6353 2nd St, Wilmer, Alabama |
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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: 1326804725
- Provider Enumeration Date: 02/23/2024
- Last Update Date: 02/23/2024
Medicare PECOS Information:
- PECOS PAC ID: 3971941220
- Enrollment ID: I20240404003378
Medical Identifiers
Medical identifiers for Stephanie Hautau such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1326804725 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 1-154018 (Alabama) | 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 Hautau allows following entities to bill medicare on her behalf.
Entity Name | Wilmer Medical Clinic, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1649667577 PECOS PAC ID: 4385954379 Enrollment ID: O20151103001918 |
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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 Hautau 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 |
Stephanie Hautau, 6353 2nd St, Wilmer, AL 36587-4453 Ph: (251) 410-7425 | Stephanie Hautau, 6353 2nd St, Wilmer, AL 36587-4453 Ph: (251) 410-7425 |
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