Dr Michael Stefanov, PHD is a medicare enrolled "Psychologist - Clinical" provider in Honesdale, Pennsylvania. His current practice location is
302 9th St, Honesdale, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(570) 253-6453.
Dr Michael Stefanov is licensed to practice in Pennsylvania (license number PS016606) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1912104803.
Healthcare Provider's Profile
| Full Name | Dr Michael Stefanov |
|---|
| Gender | Male |
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| Speciality | Psychologist - Clinical |
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| Location | 302 9th St, Honesdale, 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: 1912104803
- Provider Enumeration Date: 07/02/2007
- Last Update Date: 02/27/2019
Medicare PECOS Information:
- PECOS PAC ID: 4284785676
- Enrollment ID: I20100713000388
Medical Identifiers
Medical identifiers for Dr Michael Stefanov such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1912104803 | NPI | - | NPPES |
| PS016606 | Medicaid | PA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TA0400X | Psychologist - Addiction (substance Use Disorder) | PS016606 (Pennsylvania) | Secondary |
| 103TB0200X | Psychologist - Cognitive & Behavioral | PS016606 (Pennsylvania) | Secondary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | PS016606 (Pennsylvania) | Secondary |
| 103TF0000X | Psychologist - Family | PS016606 (Pennsylvania) | Secondary |
| 103TF0200X | Psychologist - Forensic | PS016606 (Pennsylvania) | Secondary |
| 103TH0004X | Psychologist - Health | PS016606 (Pennsylvania) | Secondary |
| 103TM1800X | Psychologist - Intellectual & Developmental Disabilities | PS016606 (Pennsylvania) | Secondary |
| 103TP2701X | Psychologist - Group Psychotherapy | PS016606 (Pennsylvania) | Secondary |
| 103TC0700X | Psychologist - Clinical | PS016606 (Pennsylvania) | 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 Michael Stefanov 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 Michael Stefanov, PHD
302 9th St,
Honesdale, PA 18431-2090
Ph: (570) 253-6453 | Dr Michael Stefanov, PHD
302 9th St,
Honesdale, PA 18431-2090
Ph: (570) 253-6453 |
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