Stephanie Nicole Sutherland, LSW is a medicare enrolled "Social Worker" provider in Evanston, Illinois. Her current practice location is
501 Davis St, Evanston, Illinois. You can reach out to her office (for appointments etc.) via phone at
(312) 546-4193.
Stephanie Nicole Sutherland is licensed to practice in Oregon (license number A4868) 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 1043681976.
Healthcare Provider's Profile
Full Name | Stephanie Nicole Sutherland |
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Gender | Female |
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Speciality | Social Worker |
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Location | 501 Davis St, Evanston, Illinois |
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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: 1043681976
- Provider Enumeration Date: 10/19/2015
- Last Update Date: 05/20/2022
Medicare PECOS Information:
- PECOS PAC ID: 4587030325
- Enrollment ID: I20221019000210
Medical Identifiers
Medical identifiers for Stephanie Nicole Sutherland such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043681976 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
104100000X | Social Worker | A4868 (Oregon) | 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. Stephanie Nicole Sutherland allows following entities to bill medicare on her behalf.
Entity Name | Clarity Clinic Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1063803856 PECOS PAC ID: 7517284755 Enrollment ID: O20150326001469 |
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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 Nicole Sutherland 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 Nicole Sutherland, LSW 11035 Ne Sandy Blvd, Portland, OR 97220-2553 Ph: (503) 258-4220 | Stephanie Nicole Sutherland, LSW 501 Davis St, Evanston, IL 60201-4619 Ph: (312) 546-4193 |
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