Michelle Dawn Stafford, LMSW is a medicare enrolled "Social Worker - Clinical" provider in Wellington, Kansas. She graduated from medical school in 2011 and has 15 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Sumner Mental Health Center and her current practice location is
1601 W 16th St, Wellington, Kansas. You can reach out to her office (for appointments etc.) via phone at
(620) 326-7448.
Michelle Dawn Stafford is licensed to practice in Kansas (license number 06458) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1477849925.
Healthcare Provider's Profile
| Full Name | Michelle Dawn Stafford |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 15 Years |
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| Location | 1601 W 16th St, Wellington, Kansas |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Michelle Dawn Stafford graduated from medical school in 2011
NPI Data:
- NPI Number: 1477849925
- Provider Enumeration Date: 06/23/2011
- Last Update Date: 07/05/2024
Medicare PECOS Information:
- PECOS PAC ID: 4082159157
- Enrollment ID: I20240712002049
Medical Identifiers
Medical identifiers for Michelle Dawn Stafford such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1477849925 | NPI | - | NPPES |
| 100229020A | Medicaid | KS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1041C0700X | Social Worker - Clinical | 06458 (Kansas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Sumner Mental Health Center | 1759337959 | 14 |
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. Michelle Dawn Stafford allows following entities to bill medicare on her behalf.
| Entity Name | Sumner Mental Health Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093735896 PECOS PAC ID: 1759337959 Enrollment ID: O20050330000440 |
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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. Michelle Dawn Stafford 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 |
Michelle Dawn Stafford, LMSW 1601 W 16th St, P O Box 607, Wellington, KS 67152-8125 Ph: (620) 326-7448 | Michelle Dawn Stafford, LMSW 1601 W 16th St, Wellington, KS 67152-8125 Ph: (620) 326-7448 |
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