Stacey Delforge, is a medicare enrolled "Speech-language Pathologist" provider in Birnamwood, Wisconsin. Her current practice location is
337 Main St, Birnamwood, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(715) 449-2576.
Stacey Delforge is licensed to practice in Wisconsin (license number 1708154) 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 1366717233.
Healthcare Provider's Profile
| Full Name | Stacey Delforge |
|---|
| Gender | Female |
|---|
| Speciality | Speech-language Pathologist |
|---|
| Location | 337 Main St, Birnamwood, Wisconsin |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1366717233
- Provider Enumeration Date: 03/12/2012
- Last Update Date: 03/12/2012
Medicare PECOS Information:
- PECOS PAC ID: 8325420219
- Enrollment ID: I20220809003488
Medical Identifiers
Medical identifiers for Stacey Delforge such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1366717233 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 235Z00000X | Speech-language Pathologist | 1708154 (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. Stacey Delforge allows following entities to bill medicare on her behalf.
| Provider Name | Phyt Rehab Of Wisconsin Inc |
|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
|---|
| Provider Identifiers | NPI Number: 1366965931
PECOS PAC ID: 5395122196
Enrollment ID: O20220517001830 |
|---|
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. Stacey Delforge 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 |
|---|
Stacey Delforge,
P1561 Old Lake Rd,
Birnamwood, WI 54414-9418
Ph: (715) 449-3362 | Stacey Delforge,
337 Main St,
Birnamwood, WI 54414-9259
Ph: (715) 449-2576 |
Reviews and Comments