Dr Stephanie Shreve, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Boonville, California. Her current practice location is
13500 Airport Rd, Boonville, California. You can reach out to her office (for appointments etc.) via phone at
(707) 895-3477.
Dr Stephanie Shreve is licensed to practice in California (license number 29428) 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 1750891321.
Healthcare Provider's Profile
| Full Name | Dr Stephanie Shreve |
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| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 13500 Airport Rd, Boonville, California |
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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: 1750891321
- Provider Enumeration Date: 10/09/2017
- Last Update Date: 10/09/2017
Medicare PECOS Information:
- PECOS PAC ID: 2466821061
- Enrollment ID: I20221202001705
Medical Identifiers
Medical identifiers for Dr Stephanie Shreve such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750891321 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC0700X | Psychologist - Clinical | 29428 (California) | 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. Dr Stephanie Shreve allows following entities to bill medicare on her behalf.
| Entity Name | Korean Community Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1861525602
PECOS PAC ID: 0446495105
Enrollment ID: O20211118000437 |
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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. Dr Stephanie Shreve 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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Dr Stephanie Shreve, PSYD
Po Box 338,
Boonville, CA 95415-0338
Ph: () - | Dr Stephanie Shreve, PSYD
13500 Airport Rd,
Boonville, CA 95415-9133
Ph: (707) 895-3477 |
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