Stephanie Ericksen, PHD in Danville, IL - Medicare Psychologist Provider

Stephanie Ericksen, PHD is a medicare enrolled "Psychologist - Clinical" provider in Danville, Illinois. Her current practice location is 1900 E Main St, Danville, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 554-4262.

Stephanie Ericksen is licensed to practice in Illinois (license number 071.008377) 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 1427313154.

Contact Information

	Stephanie Ericksen, PHD
	1900 E Main St, Danville, IL 61832-5100
	(217) 554-4262
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Stephanie Ericksen
Gender	Female
Speciality	Psychologist - Clinical
Location	1900 E Main St, Danville, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1427313154
Provider Enumeration Date: 07/09/2012
Last Update Date: 07/09/2012

Medicare PECOS Information:

PECOS PAC ID: 1951548247
Enrollment ID: I20130503000464

Medical Identifiers

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

Identifier	Type	State	Issuer
1427313154	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	071.008377 (Illinois)	Primary

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 Ericksen 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 Ericksen, PHD 1900 E Main St, Danville, IL 61832-5100 Ph: (217) 554-4262	Stephanie Ericksen, PHD 1900 E Main St, Danville, IL 61832-5100 Ph: (217) 554-4262

Reviews and Comments

Psychologist in Danville, IL

Dr. James Henry Falk, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1900 E Main St, Danville, IL 61832 Phone: 217-554-5197
Dr. Adrian Ervington, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 1900 E Main St, Danville, IL 61832 Phone: 217-554-4188
Dr. Latonya Carey-wright, PSYD. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1900 E. Main Street, Building 98 Room 3118, Department Of Veterans Affairs Vamc, Danville, IL 61832 Phone: 217-554-4541
Dr. Joanne King, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 1900 East Main Street, Ptsd Clinic (116a), Danville, IL 61822 Phone: 217-554-4257 Fax: 217-554-4822
Dr. Therese A Stasik, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1900 E Main St, Danville, IL 61832 Phone: 217-554-4351
Dr. Michael Ray Clayton, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1900 E Main St, Danville, IL 61832 Phone: 217-554-5255
Michael Lee Courter Jr., PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1900 E Main St, Danville, IL 61832 Phone: 217-554-4259

Stephanie Ericksen, PHD - Medicare Psychologist in Danville, IL