Meredith Bodenstab, LCSW is a medicare enrolled "Psychologist - Clinical" provider in Stanfordville, New York. Her current practice location is
358 Homan Rd, Stanfordville, New York. You can reach out to her office (for appointments etc.) via phone at
(845) 868-7451.
Meredith Bodenstab is licensed to practice in New York (license number 080614) 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 1295175107.
Healthcare Provider's Profile
Full Name | Meredith Bodenstab |
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Gender | Female |
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Speciality | Psychologist - Clinical |
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Location | 358 Homan Rd, Stanfordville, New York |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1295175107
- Provider Enumeration Date: 06/25/2013
- Last Update Date: 02/25/2017
Medicare PECOS Information:
- PECOS PAC ID: 3870735962
- Enrollment ID: I20190403003044
Medical Identifiers
Medical identifiers for Meredith Bodenstab such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1295175107 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | 080614 (New York) | 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. Meredith Bodenstab 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 |
Meredith Bodenstab, LCSW 358 Homan Rd, Stanfordville, NY 12581-6036 Ph: (845) 868-7451 | Meredith Bodenstab, LCSW 358 Homan Rd, Stanfordville, NY 12581-6036 Ph: (845) 868-7451 |
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