Stacy L Fahlsing, DR in Lima, OH - Medicare Psychologist Provider

Stacy L Fahlsing, DR is a medicare enrolled "Psychologist" provider in Lima, Ohio. Her current practice location is 3745 Shawnee Rd Ste 105, Lima, Ohio. You can reach out to her office (for appointments etc.) via phone at (419) 999-2024.

Stacy L Fahlsing is licensed to practice in Ohio (license number 5830) 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 1457416158.

Contact Information

	Stacy L Fahlsing, DR
	3745 Shawnee Rd Ste 105, Lima, OH 45806-1662
	(419) 999-2024
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Stacy L Fahlsing
Gender	Female
Speciality	Psychologist
Location	3745 Shawnee Rd Ste 105, Lima, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457416158
Provider Enumeration Date: 12/25/2006
Last Update Date: 11/19/2019

Medicare PECOS Information:

PECOS PAC ID: 5890719991
Enrollment ID: I20120130000213

Medical Identifiers

Medical identifiers for Stacy L Fahlsing such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457416158	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	5830 (Ohio)	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 L Fahlsing allows following entities to bill medicare on her behalf.

Entity Name	Dakota Professional Corp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083667828 PECOS PAC ID: 6800810904 Enrollment ID: O20060117000171

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 L Fahlsing 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 L Fahlsing, DR 3611 S Dixie Hwy, Lima, OH 45804-3750 Ph: (419) 999-2024	Stacy L Fahlsing, DR 3745 Shawnee Rd Ste 105, Lima, OH 45806-1662 Ph: (419) 999-2024

Reviews and Comments

Psychologist in Lima, OH

Melissa Fallis, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1135 N West St, Lima, OH 45801 Phone: 419-996-3438
Dr. Jeff Cigrang, PH.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 770 W High St Ste 300, Lima, OH 45801 Phone: 419-996-4008 Fax: 419-996-4007
Dr. Michael D. Griffith, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 3000 Elida Rd, Ste 2, Lima, OH 45805 Phone: 419-225-5238 Fax: 419-222-1597
Sohrab Dadfar, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 770 W High St, Suit 300, Lima, OH 45801 Phone: 419-996-5033 Fax: 419-996-5266
Dr. Loretta J Morris Barr, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1037 W Market St, Lima, OH 45805 Phone: 740-501-1222
Dr. Michael Douglas Schafer, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3745 Shawnee Rd, Suite 105, Lima, OH 45806 Phone: 419-999-2024 Fax: 419-999-2024
Dr. Jerry Lee Zimmerman, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1000 W Market St, Lima, OH 45805 Phone: 419-227-5515 Fax: 419-227-8827

Stacy L Fahlsing, DR - Medicare Psychologist in Lima, OH