Stephen Paul Dalcerro, PHD is a medicare enrolled "Psychologist - Health Service" provider in Black River Falls, Wisconsin. His current practice location is
409 Cty Rd R, Black River Falls, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(715) 284-9477.
Stephen Paul Dalcerro is licensed to practice in Wisconsin (license number 1949-057) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1477612836.
Healthcare Provider's Profile
Full Name | Stephen Paul Dalcerro |
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Gender | Male |
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Speciality | Psychologist - Health Service |
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Location | 409 Cty Rd R, Black River Falls, 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: 1477612836
- Provider Enumeration Date: 12/08/2006
- Last Update Date: 07/08/2010
Medicare PECOS Information:
- PECOS PAC ID: 3870547334
- Enrollment ID: I20050308000470
Medical Identifiers
Medical identifiers for Stephen Paul Dalcerro such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1477612836 | NPI | - | NPPES |
180056 | Other | MN | UCARE |
49948 | Other | | SECURITY HEALTH PLAN |
39683800 | Medicaid | WI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TH0100X | Psychologist - Health Service | 1949-057 (Wisconsin) | 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. Stephen Paul Dalcerro allows following entities to bill medicare on his behalf.
Entity Name | Black River Memorial Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1811940331 PECOS PAC ID: 3173431178 Enrollment ID: O20040128000517 |
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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. Stephen Paul Dalcerro 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 |
Stephen Paul Dalcerro, PHD 1707 Main St, La Crosse, WI 54601-4200 Ph: (608) 785-0001 | Stephen Paul Dalcerro, PHD 409 Cty Rd R, Black River Falls, WI 54615 Ph: (715) 284-9477 |
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