Katie Melissa Stanford, MSN, PMHNP-BC is a medicare enrolled "Clinical Nurse Specialist - Psychiatric/mental Health, Adult" in Athens, Ohio. She graduated from nursing school in 2019 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Ohio Psychiatric Services Llc and her current practice location is
217 Columbus Rd Ste 105, Athens, Ohio. You can reach out to her office (for appointments etc.) via phone at
(740) 200-0562.
Katie Melissa Stanford is licensed to practice in Ohio (license number APRN.CNP.024676) 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 1801454558.
Provider's Profile
| Full Name | Katie Melissa Stanford |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 6 Years |
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| Location | 217 Columbus Rd Ste 105, Athens, Ohio |
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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:
- Katie Melissa Stanford graduated from nursing school in 2019
NPI Data:
- NPI Number: 1801454558
- Provider Enumeration Date: 05/29/2019
- Last Update Date: 07/17/2024
Medicare PECOS Information:
- PECOS PAC ID: 7315378239
- Enrollment ID: I20200509000013
Medical Identifiers
Medical identifiers for Katie Melissa Stanford such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1801454558 | NPI | - | NPPES |
| 2018090842 | Other | OH | STATE OF OHIO NURSING LICENSE # |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 364SP0809X | Clinical Nurse Specialist - Psychiatric/mental Health, Adult | APRN.CNP.024676 (Ohio) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 2018090842 (Ohio) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Ohio Psychiatric Services Llc | 1850689266 | 6 |
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. Katie Melissa Stanford allows following entities to bill medicare on her behalf.
| Entity Name | State Of Ohio Office Of Budget And Management State Accounting |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1023082716
PECOS PAC ID: 0143133181
Enrollment ID: O20031202000209 |
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| Entity Name | Ohio Psychiatric Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1902359383
PECOS PAC ID: 1850689266
Enrollment ID: O20161017002698 |
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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. Katie Melissa Stanford 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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Katie Melissa Stanford, MSN, PMHNP-BC
217 Columbus Rd Ste 105,
Athens, OH 45701-1393
Ph: (740) 200-0562 | Katie Melissa Stanford, MSN, PMHNP-BC
217 Columbus Rd Ste 105,
Athens, OH 45701-1393
Ph: (740) 200-0562 |
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