Stephanie Sunshine Fissella, is a medicare enrolled "Nurse Practitioner - Family" in Donegal, Pennsylvania. Her current practice location is
212 Snyder Rd, Donegal, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(724) 252-4458.
Stephanie Sunshine Fissella is licensed to practice in Pennsylvania (license number SP028277) 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 1205617354.
Provider's Profile
| Full Name | Stephanie Sunshine Fissella |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 212 Snyder Rd, Donegal, Pennsylvania |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1205617354
- Provider Enumeration Date: 10/12/2023
- Last Update Date: 11/20/2024
Medicare PECOS Information:
- PECOS PAC ID: 1254788979
- Enrollment ID: I20231116002729
Medical Identifiers
Medical identifiers for Stephanie Sunshine Fissella such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1205617354 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | SP028277 (Pennsylvania) | 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 Sunshine Fissella allows following entities to bill medicare on her behalf.
| Entity Name | Clearfield-jefferson Primary Care Associates Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1710233895
PECOS PAC ID: 6002064433
Enrollment ID: O20120910000652 |
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| Entity Name | Physiatry Consultants Of Nc Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1437736881
PECOS PAC ID: 2567871643
Enrollment ID: O20230222000311 |
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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 Sunshine Fissella 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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Stephanie Sunshine Fissella,
212 Snyder Rd,
Donegal, PA 15628-9704
Ph: (724) 252-4458 | Stephanie Sunshine Fissella,
212 Snyder Rd,
Donegal, PA 15628-9704
Ph: (724) 252-4458 |
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