Stacey Dyjewski, LCMHCS in Wake Forest, NC - Medicare Counselor Provider

Stacey Dyjewski, LCMHCS is a medicare enrolled "Counselor - Professional" provider in Wake Forest, North Carolina. Her current practice location is 10580 Ligon Mill Rd # 210, Wake Forest, North Carolina. You can reach out to her office (for appointments etc.) via phone at (919) 263-9592.

Stacey Dyjewski is licensed to practice in North Carolina (license number S14065) 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 1912322561.

Contact Information

	Stacey Dyjewski, LCMHCS
	10580 Ligon Mill Rd # 210, Wake Forest, NC 27587-6090
	(919) 263-9592
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Stacey Dyjewski
Gender	Female
Speciality	Counselor - Professional
Location	10580 Ligon Mill Rd # 210, Wake Forest, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912322561
Provider Enumeration Date: 02/19/2014
Last Update Date: 03/22/2024

Medicare PECOS Information:

PECOS PAC ID: 5799129334
Enrollment ID: I20240222000346

Medical Identifiers

Medical identifiers for Stacey Dyjewski such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912322561	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	6401014097 (Michigan)	Secondary
101YP2500X	Counselor - Professional	S14065 (North Carolina)	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 Dyjewski allows following entities to bill medicare on her behalf.

Entity Name	Perkins Counseling And Psychological Services, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750641213 PECOS PAC ID: 6800052234 Enrollment ID: O20120730000248

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 Dyjewski 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 Dyjewski, LCMHCS 10580 Ligon Mill Rd # 210, Wake Forest, NC 27587-6090 Ph: (586) 804-7651	Stacey Dyjewski, LCMHCS 10580 Ligon Mill Rd # 210, Wake Forest, NC 27587-6090 Ph: (919) 263-9592

Reviews and Comments

Counselor in Wake Forest, NC

Mrs. Mary Muthoni Barine, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 916 Windemere Ln, Wake Forest, NC 27587 Phone: 919-562-7713
Gary Schwager, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 122 W. Vernon St., Wake Forest, NC 27587 Phone: 919-903-3182 Fax: 919-554-9232
Rick Mckoy, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 180 Meadow Glen Dr, Wake Forest, NC 27587 Phone: 919-818-4371
Harper O'neill, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1756 Heritage Center Dr Ste 104, Wake Forest, NC 27587 Phone: 984-235-2545
Ms. Amanda Ramey, LCMHCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 851 Durham Rd Ste B, Wake Forest, NC 27587 Phone: 919-891-0063
Taylor Reimold, Counselor Medicare: Not Enrolled in Medicare Practice Location: 853 Durham Rd Ste A2, Wake Forest, NC 27587 Phone: 919-296-8100
Isabella Francisco, MSW, LCSWA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1764 Heritage Center Dr Ste 202, Wake Forest, NC 27587 Phone: 984-235-7595 Fax: 984-235-7054

Stacey Dyjewski, LCMHCS - Medicare Counselor in Wake Forest, NC