Stephanie Donnelly, PHD is a medicare enrolled "Psychologist" provider in Frederick, Colorado. Her current practice location is
5995 Iris Pkwy, Frederick, Colorado. You can reach out to her office (for appointments etc.) via phone at
(303) 697-2583.
Stephanie Donnelly is licensed to practice in Colorado (license number PSYC.00013623) 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 1952760951.
Healthcare Provider's Profile
Full Name | Stephanie Donnelly |
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Gender | Female |
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Speciality | Psychologist |
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Location | 5995 Iris Pkwy, Frederick, Colorado |
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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: 1952760951
- Provider Enumeration Date: 02/18/2016
- Last Update Date: 10/20/2021
Medicare PECOS Information:
- PECOS PAC ID: 1658669072
- Enrollment ID: I20161018000196
Medical Identifiers
Medical identifiers for Stephanie Donnelly such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1952760951 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | PSYC.00013623 (Colorado) | 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. Stephanie Donnelly allows following entities to bill medicare on her behalf.
Entity Name | University Of Texas Southwestern Medical Center At Dallas |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1972579365 PECOS PAC ID: 0648188250 Enrollment ID: O20031106000792 |
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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 Donnelly 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 Donnelly, PHD Po Box 189, Frederick, CO 80530-0189 Ph: (303) 697-2583 | Stephanie Donnelly, PHD 5995 Iris Pkwy, Frederick, CO 80504-6412 Ph: (303) 697-2583 |
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