Dr Stephanie Nicolai, PSYD in Surprise, AZ - Medicare Clinical Psychologist Provider

Dr Stephanie Nicolai, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Surprise, Arizona. She graduated from medical school in 2015 and has 10 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Banner Physician Specialists Arizona Llc and her current practice location is 13995 W Statler Blvd Ste 200, Surprise, Arizona. You can reach out to her office (for appointments etc.) via phone at (623) 478-3100.

Dr Stephanie Nicolai is licensed to practice in Arizona (license number PSY005314) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1790065282.

Contact Information

	Dr Stephanie Nicolai, PSYD
	13995 W Statler Blvd Ste 200, Surprise, AZ 85374-5503
	(623) 478-3100
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Stephanie Nicolai
Gender	Female
Speciality	Clinical Psychologist
Experience	10 Years
Location	13995 W Statler Blvd Ste 200, Surprise, Arizona
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Stephanie Nicolai graduated from medical school in 2015

NPI Data:

NPI Number: 1790065282
Provider Enumeration Date: 08/28/2011
Last Update Date: 01/15/2021

Medicare PECOS Information:

PECOS PAC ID: 6608288949
Enrollment ID: I20201210002134

Medical Identifiers

Medical identifiers for Dr Stephanie Nicolai such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790065282	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PSY29146 (California)	Secondary
103TC0700X	Psychologist - Clinical	PSY005314 (Arizona)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Banner Physician Specialists Arizona Llc	6204002272	255

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. Dr Stephanie Nicolai allows following entities to bill medicare on her behalf.

Entity Name	Banner Physician Specialists Arizona Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316228802 PECOS PAC ID: 6204002272 Enrollment ID: O20111222000509

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 Stephanie Nicolai 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 Stephanie Nicolai, PSYD 13995 W Statler Blvd Ste 200, Surprise, AZ 85374-5503 Ph: () -	Dr Stephanie Nicolai, PSYD 13995 W Statler Blvd Ste 200, Surprise, AZ 85374-5503 Ph: (623) 478-3100

Reviews and Comments

Psychologist in Surprise, AZ

James A Leroy, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 12425 W Bell Rd, Suite 200, Surprise, AZ 85378 Phone: 623-374-7774 Fax: 623-240-1110
Jennifer Hargrave, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 15802 N Parkview Pl, Surprise, AZ 85374 Phone: 623-876-7022
Mrs. Marni Marie Lahti, MA, MSE Psychologist Medicare: Not Enrolled in Medicare Practice Location: 15802 North Parkview Place, Surprise, AZ 85374 Phone: 623-876-7022
Dr. Alicja Stewart, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 14780 W. Mountain View Blvd., Suite 110, Surprise, AZ 85374 Phone: 623-374-7774
Ms. Lauren Heather Richins, ED.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 15802 N Parkview Pl, Surprise, AZ 85374 Phone: 623-876-7000
Dr. Mary Kay Cragan, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 16913 W Dale Ln, Surprise, AZ 85387 Phone: 623-584-8392
Dr. Sherrie Lee Somershoe, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 13985 W Grand Ave, Surprise, AZ 85374 Phone: 623-340-4249

Dr Stephanie Nicolai, PSYD - Medicare Psychologist in Surprise, AZ