Staci Lynn Fosenburg, PHD in Des Moines, IA - Medicare Clinical Psychologist Provider

Staci Lynn Fosenburg, PHD is a medicare enrolled "Psychologist" provider in Des Moines, Iowa. She went to University Of Iowa, Rj & L Carver College Of Medicine and graduated in 2018 and has 7 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Primary Health Care Inc and her current practice location is 3509 E 29th St, Des Moines, Iowa. You can reach out to her office (for appointments etc.) via phone at (515) 248-1600.

Staci Lynn Fosenburg is licensed to practice in Iowa (license number ) 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 1477073179.

Contact Information

	Staci Lynn Fosenburg, PHD
	3509 E 29th St, Des Moines, IA 50317-4253
	(515) 248-1600
	(515) 248-1610

Map and Direction

Healthcare Provider's Profile

Full Name	Staci Lynn Fosenburg
Gender	Female
Speciality	Clinical Psychologist
Experience	7 Years
Location	3509 E 29th St, Des Moines, Iowa
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:

Staci Lynn Fosenburg attended and graduated from University Of Iowa, Rj & L Carver College Of Medicine in 2018

NPI Data:

NPI Number: 1477073179
Provider Enumeration Date: 06/23/2017
Last Update Date: 04/17/2023

Medicare PECOS Information:

PECOS PAC ID: 2961889852
Enrollment ID: I20220603001031

Medical Identifiers

Medical identifiers for Staci Lynn Fosenburg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477073179	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	(Iowa)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Primary Health Care Inc	8426966755	59

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. Staci Lynn Fosenburg allows following entities to bill medicare on her behalf.

Entity Name	Primary Health Care Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588692487 PECOS PAC ID: 8426966755 Enrollment ID: O20031106000487

Entity Name	Des Moines Pastoral Counseling Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578574786 PECOS PAC ID: 0749272649 Enrollment ID: O20040331001405

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. Staci Lynn Fosenburg 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
Staci Lynn Fosenburg, PHD 1200 University Ave Ste 200, Des Moines, IA 50314-2355 Ph: (515) 248-1447	Staci Lynn Fosenburg, PHD 3509 E 29th St, Des Moines, IA 50317-4253 Ph: (515) 248-1600

Reviews and Comments

Psychologist in Des Moines, IA

Sapna Ram Dixon, Psychologist Medicare: Accepting Medicare Assignments Practice Location: 808 5th Ave, Des Moines, IA 50309 Phone: 515-244-2267
Gregory Wayne Schrimsher, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3600 30th St Rm 2750, Des Moines, IA 50310 Phone: 515-699-5902
Dr. Dianne Sylvia Alber, ED.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1215 Pleasant St, 506, Des Moines, IA 50309 Phone: 515-241-4280 Fax: 515-241-4100
John F Wallace, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3600 30th St, Des Moines, IA 50310 Phone: 515-699-5999
Dr. Steven Dean Hagemoser, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3600 30th St, Building 5, Room 110, Des Moines, IA 50310 Phone: 515-699-5679 Fax: 515-699-5772
Gregory Chowanec, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3600 30th St, Des Moines, IA 50310 Phone: 515-699-5675
Dr. Rachel Harriet Huston, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1922 Ingersoll Ave, Des Moines, IA 50309 Phone: 515-471-7070 Fax: 515-282-5570

Staci Lynn Fosenburg, PHD - Medicare Psychologist in Des Moines, IA