Stephanie Lauren Marl, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Gibraltar, Michigan. Her current practice location is
29800 Adams Dr, Gibraltar, Michigan. You can reach out to her office (for appointments etc.) via phone at
(734) 771-7022.
Stephanie Lauren Marl is licensed to practice in Michigan (license number 4704300807) 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 1508416355.
Provider's Profile
Full Name | Stephanie Lauren Marl |
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Gender | Female |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 29800 Adams Dr, Gibraltar, Michigan |
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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: 1508416355
- Provider Enumeration Date: 09/13/2019
- Last Update Date: 02/10/2021
Medicare PECOS Information:
- PECOS PAC ID: 3476985284
- Enrollment ID: I20191118000148
Medical Identifiers
Medical identifiers for Stephanie Lauren Marl such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508416355 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 4704300807 (Michigan) | 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 Lauren Marl allows following entities to bill medicare on her behalf.
Entity Name | Henry Ford Wyandotte Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1457586646 PECOS PAC ID: 2264334499 Enrollment ID: O20040227000431 |
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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 Lauren Marl 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 Lauren Marl, PMHNP-BC 29800 Adams Dr, Gibraltar, MI 48173-9758 Ph: () - | Stephanie Lauren Marl, PMHNP-BC 29800 Adams Dr, Gibraltar, MI 48173 Ph: (734) 771-7022 |
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