Stephanie M Ernestus, PHD is a
Student In An Organized Health Care Education/training Program based in North Easton, Massachusetts. Stephanie M Ernestus is licensed to practice in Ohio (license number ) and her current practice location is
320 Washington St, North Easton, Massachusetts. She can be reached at her office (for appointments etc.) via phone at
(424) 453-4573.
NPI number for Stephanie M Ernestus is 1962803122 and her current mailing address is 124 Union Park St Apt 2, Boston, Massachusetts. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1962803122.
Healthcare Provider's Profile
| Full Name | Stephanie M Ernestus |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 320 Washington St, North Easton, Massachusetts |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1962803122
- Provider Enumeration Date: 09/08/2014
- Last Update Date: 01/10/2022
Medical Identifiers
Medical identifiers for Stephanie M Ernestus such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962803122 | NPI | - | NPPES |
| 2846675 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | 11613 (Massachusetts) | Secondary |
| 103TC0700X | Psychologist - Clinical | 29122 (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (Ohio) | Primary |
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 M Ernestus is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Stephanie M Ernestus, PHD
124 Union Park St Apt 2,
Boston, MA 02118-2498
Ph: (424) 543-4573 | Stephanie M Ernestus, PHD
320 Washington St,
North Easton, MA 02357-3247
Ph: (424) 453-4573 |
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