Stephanie Ross Potts, PHD is a medicare enrolled "Clinical Neuropsychologist" provider in Oshkosh, Wisconsin. Her current practice location is
700 N Westhaven Dr, Oshkosh, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(920) 456-2030.
Stephanie Ross Potts is licensed to practice in Wisconsin (license number 5131) 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 1144873159.
Healthcare Provider's Profile
Full Name | Stephanie Ross Potts |
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Gender | Female |
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Speciality | Clinical Neuropsychologist |
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Location | 700 N Westhaven Dr, Oshkosh, Wisconsin |
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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: 1144873159
- Provider Enumeration Date: 07/18/2019
- Last Update Date: 09/10/2024
Medicare PECOS Information:
- PECOS PAC ID: 1254661432
- Enrollment ID: I20191002000135
Medical Identifiers
Medical identifiers for Stephanie Ross Potts such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1144873159 | NPI | - | NPPES |
100266414 | Medicaid | WI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | 2018013237 (Missouri) | Secondary |
103T00000X | Psychologist | 071.010747 (Illinois) | Secondary |
103G00000X | Clinical Neuropsychologist | 5131 (Wisconsin) | Primary |
103G00000X | Clinical Neuropsychologist | 071.010747 (Illinois) | Secondary |
103G00000X | Clinical Neuropsychologist | 2018013237 (Missouri) | Secondary |
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 Ross Potts allows following entities to bill medicare on her behalf.
Entity Name | Ssm Select Rehab St Louis Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1558403261 PECOS PAC ID: 2567510449 Enrollment ID: O20100423000488 |
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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 Ross Potts 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 Ross Potts, PHD Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Stephanie Ross Potts, PHD 700 N Westhaven Dr, Oshkosh, WI 54904-6947 Ph: (920) 456-2030 |
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