Stacy Ellen Cruess, PHD in Norwich, CT - Medicare Psychologist Provider

Stacy Ellen Cruess, PHD is a medicare enrolled "Psychologist - Clinical" provider in Norwich, Connecticut. Her current practice location is 164 Otrobando Ave, Norwich, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 425-8740.

Stacy Ellen Cruess is licensed to practice in Connecticut (license number 002704) 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 1063511681.

Contact Information

	Stacy Ellen Cruess, PHD
	164 Otrobando Ave, Norwich, CT 06360-2116
	(860) 425-8740
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Stacy Ellen Cruess
Gender	Female
Speciality	Psychologist - Clinical
Location	164 Otrobando Ave, Norwich, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063511681
Provider Enumeration Date: 09/21/2006
Last Update Date: 04/25/2023

Medicare PECOS Information:

PECOS PAC ID: 6709055767
Enrollment ID: I20110808000601

Medical Identifiers

Medical identifiers for Stacy Ellen Cruess such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063511681	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	002704 (Connecticut)	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. Stacy Ellen Cruess allows following entities to bill medicare on her behalf.

Entity Name	Hartford Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407806391 PECOS PAC ID: 2567366016 Enrollment ID: O20031125000700

Entity Name	Hartford Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770696643 PECOS PAC ID: 2567366016 Enrollment ID: O20031125000752

Entity Name	Hartford Healthcare Medical Group Specialists Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023584216 PECOS PAC ID: 3173866241 Enrollment ID: O20190514001441

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. Stacy Ellen Cruess 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
Stacy Ellen Cruess, PHD 164 Otrobando Ave, Norwich, CT 06360-2116 Ph: (860) 425-8740	Stacy Ellen Cruess, PHD 164 Otrobando Ave, Norwich, CT 06360-2116 Ph: (860) 425-8740

Reviews and Comments

Psychologist in Norwich, CT

Nicholas Sitro, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 150 Otrobando Ave, Norwich, CT 06360 Phone: 860-889-7274 Fax: 860-889-2131
Dr. Joseph Patrick Lang, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 401 West Thames Street, Southeastern Mental Health Authority Bldg 301, Norwich, CT 06360 Phone: 860-859-4674 Fax: 860-859-4790
Dr. Diane Marie Powell, PH. D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 12 Case St, Suite 310, Norwich, CT 06360 Phone: 860-887-5361
Thomas Dziadosz, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 326 Washington St, William W Backus Hospital, Norwich, CT 06360 Phone: 860-889-8331
James F Odea, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 326 Washington St, William W Backus Hospital, Norwich, CT 06360 Phone: 860-889-8331
Eric Karl Sandberg, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 326 Washington St, William W Backus Hospital, Norwich, CT 06360 Phone: 860-889-8331

Stacy Ellen Cruess, PHD - Medicare Psychologist in Norwich, CT