Dr Marilyn J Stagno, is a medicare enrolled "Clinical Neuropsychologist" provider in South Barrington, Illinois. Her current practice location is
6 East Cove Drive, South Barrington, Illinois. You can reach out to her office (for appointments etc.) via phone at
(847) 381-0571.
Dr Marilyn J Stagno is licensed to practice in Illinois (license number 071-005066) 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 1750446720.
Healthcare Provider's Profile
| Full Name | Dr Marilyn J Stagno |
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| Gender | Female |
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| Speciality | Clinical Neuropsychologist |
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| Location | 6 East Cove Drive, South Barrington, Illinois |
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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: 1750446720
- Provider Enumeration Date: 12/27/2006
- Last Update Date: 10/04/2020
Medicare PECOS Information:
- PECOS PAC ID: 2062504004
- Enrollment ID: I20070822001327
Medical Identifiers
Medical identifiers for Dr Marilyn J Stagno such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750446720 | NPI | - | NPPES |
| 1607281 | Other | IL | BLUE CROSS & BLUE SHIELD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | 071-005066 (Illinois) | Secondary |
| 103TF0200X | Psychologist - Forensic | 071-005066 (Illinois) | Secondary |
| 103TH0100X | Psychologist - Health Service | 071-005066 (Illinois) | Secondary |
| 103G00000X | Clinical Neuropsychologist | 071-005066 (Illinois) | Primary |
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. Dr Marilyn J Stagno 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 |
|---|
Dr Marilyn J Stagno,
6 East Cove Drive,
South Barrington, IL 60010-9527
Ph: (847) 381-0571 | Dr Marilyn J Stagno,
6 East Cove Drive,
South Barrington, IL 60010-9527
Ph: (847) 381-0571 |
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