Keri Stephanoff, LCSW, LCPC, LBA is a medicare enrolled "Social Worker - Clinical" provider in Butte, Montana. Her current practice location is
5915 Albany Ave, Butte, Montana. You can reach out to her office (for appointments etc.) via phone at
(406) 221-6273.
Keri Stephanoff is licensed to practice in Montana (license number BBH-LCSW-LIC-38882) 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 1578066544.
Healthcare Provider's Profile
| Full Name | Keri Stephanoff |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 5915 Albany Ave, Butte, Montana |
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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: 1578066544
- Provider Enumeration Date: 03/15/2018
- Last Update Date: 02/03/2022
Medicare PECOS Information:
- PECOS PAC ID: 0244624476
- Enrollment ID: I20220303001370
Medical Identifiers
Medical identifiers for Keri Stephanoff such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1578066544 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YP2500X | Counselor - Professional | BBH-LCPC-LIC-34703 (Montana) | Secondary |
| 103K00000X | Behavior Analyst | 1-21-48155 (Montana) | Secondary |
| 1041C0700X | Social Worker - Clinical | BBH-LCSW-LIC-38882 (Montana) | 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. Keri Stephanoff allows following entities to bill medicare on her behalf.
| Entity Name | Restorative Mind Therapy Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1871248914
PECOS PAC ID: 5193119311
Enrollment ID: O20220303001008 |
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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. Keri Stephanoff 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 |
|---|
Keri Stephanoff, LCSW, LCPC, LBA
116082 Fleecer Rd,
Butte, MT 59750-9710
Ph: (406) 221-6273 | Keri Stephanoff, LCSW, LCPC, LBA
5915 Albany Ave,
Butte, MT 59701-7402
Ph: (406) 221-6273 |
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