Stephanie L Judy, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Odessa, Delaware. Her current practice location is
111 S 6th St, Odessa, Delaware. You can reach out to her office (for appointments etc.) via phone at
(302) 313-1411.
Stephanie L Judy is licensed to practice in Delaware (license number LG-0000882) 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 1699143404.
Provider's Profile
Full Name | Stephanie L Judy |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 111 S 6th St, Odessa, Delaware |
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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: 1699143404
- Provider Enumeration Date: 09/10/2015
- Last Update Date: 08/23/2024
Medicare PECOS Information:
- PECOS PAC ID: 5597023747
- Enrollment ID: I20171218002224
Medical Identifiers
Medical identifiers for Stephanie L Judy such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1699143404 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363L00000X | Nurse Practitioner | LG-0000882 (Delaware) | Secondary |
363LF0000X | Nurse Practitioner - Family | LG-0000882 (Delaware) | 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 L Judy allows following entities to bill medicare on her behalf.
Entity Name | Creative Medical Consulting, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1578051819 PECOS PAC ID: 7719242205 Enrollment ID: O20180605000164 |
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Entity Name | Christiana Care Quality Partners |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1164061867 PECOS PAC ID: 0143657247 Enrollment ID: O20200303000038 |
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Entity Name | Eternally Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1750968293 PECOS PAC ID: 5496158867 Enrollment ID: O20220405000992 |
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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 L Judy 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 L Judy, FNP-C 749 Wood Duck Ct, Middletown, DE 19709-6114 Ph: (302) 382-7340 | Stephanie L Judy, FNP-C 111 S 6th St, Odessa, DE 19730-2077 Ph: (302) 313-1411 |
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