Ian Knowlton Pattison Stephens, LP is a medicare enrolled "Psychologist" provider in Boys Town, Nebraska. His current practice location is
13460 Walsh Dr, Boys Town, Nebraska. You can reach out to his office (for appointments etc.) via phone at
(402) 498-3358.
Ian Knowlton Pattison Stephens is licensed to practice in Nebraska (license number 929) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1962810804.
Healthcare Provider's Profile
| Full Name | Ian Knowlton Pattison Stephens |
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| Gender | Male |
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| Speciality | Psychologist |
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| Location | 13460 Walsh Dr, Boys Town, Nebraska |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1962810804
- Provider Enumeration Date: 07/23/2014
- Last Update Date: 07/03/2017
Medicare PECOS Information:
- PECOS PAC ID: 3173894870
- Enrollment ID: I20170728002185
Medical Identifiers
Medical identifiers for Ian Knowlton Pattison Stephens such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962810804 | NPI | - | NPPES |
| 47037660631 | Medicaid | NE | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | 4770 (Nebraska) | Secondary |
| 101Y00000X | Counselor | 530 (Nebraska) | Secondary |
| 103T00000X | Psychologist | 929 (Nebraska) | 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. Ian Knowlton Pattison Stephens allows following entities to bill medicare on his behalf.
| Entity Name | Father Flanagans Boys Home |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1295821825
PECOS PAC ID: 9638165400
Enrollment ID: O20040426000622 |
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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. Ian Knowlton Pattison Stephens 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 |
|---|
Ian Knowlton Pattison Stephens, LP
13460 Walsh Dr,
Boys Town, NE 68010-7529
Ph: (402) 498-3358 | Ian Knowlton Pattison Stephens, LP
13460 Walsh Dr,
Boys Town, NE 68010-7529
Ph: (402) 498-3358 |
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