Stephanie Dianne Rose, PHD in Crawfordsville, IN - Medicare Clinical Psychologist Provider

Stephanie Dianne Rose, PHD is a medicare enrolled "Psychologist - Counseling" provider in Crawfordsville, Indiana. She graduated from medical school in 2015 and has 9 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice R P Therapy Llc, Valley Oaks Health Inc and her current practice location is 1480 Darlington Ave, Crawfordsville, Indiana. You can reach out to her office (for appointments etc.) via phone at (765) 362-2852.

Stephanie Dianne Rose is licensed to practice in Indiana (license number 99072078A) 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 1750743373.

Contact Information

	Stephanie Dianne Rose, PHD
	1480 Darlington Ave, Crawfordsville, IN 47933-2007
	(765) 362-2852
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Stephanie Dianne Rose
Gender	Female
Speciality	Clinical Psychologist
Experience	9 Years
Location	1480 Darlington Ave, Crawfordsville, Indiana
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:

Stephanie Dianne Rose graduated from medical school in 2015

NPI Data:

NPI Number: 1750743373
Provider Enumeration Date: 03/23/2016
Last Update Date: 03/23/2016

Medicare PECOS Information:

PECOS PAC ID: 2567760416
Enrollment ID: I20160411001089

Medical Identifiers

Medical identifiers for Stephanie Dianne Rose such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750743373	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC1900X	Psychologist - Counseling	99072078A (Indiana)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
R P Therapy Llc	4789076373	6
Valley Oaks Health Inc	7315927563	48

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. Stephanie Dianne Rose allows following entities to bill medicare on her behalf.

Entity Name	Valley Oaks Health Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689629990 PECOS PAC ID: 7315927563 Enrollment ID: O20040720001286

Entity Name	R P Therapy Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912667478 PECOS PAC ID: 4789076373 Enrollment ID: O20220111000861

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. Stephanie Dianne Rose 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
Stephanie Dianne Rose, PHD 1201 W Main St, Crawfordsville, IN 47933-1106 Ph: (937) 532-4914	Stephanie Dianne Rose, PHD 1480 Darlington Ave, Crawfordsville, IN 47933-2007 Ph: (765) 362-2852

Reviews and Comments

Psychologist in Crawfordsville, IN

Dale Crowder, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1480 Darlington Ave, Crawfordsville, IN 47933 Phone: 765-362-2852 Fax: 765-362-2862
Mrs. Ronda Branham, BS, MED, EDS Psychologist Medicare: Not Enrolled in Medicare Practice Location: 305 E Chestnut St, Crawfordsville, IN 47933 Phone: 765-362-4022 Fax: 765-364-3243
Jennifer Mittal, M.ED. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 305 E Chestnut St, Crawfordsville, IN 47933 Phone: 765-362-4022
Shandolyn Aboudou, M.ED., ED.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 305 E Chestnut St, Crawfordsville, IN 47933 Phone: 765-362-4022

Stephanie Dianne Rose, PHD - Medicare Psychologist in Crawfordsville, IN