Dr Nathanael Mark Stephens, LP, LPC is a medicare enrolled "Psychologist - Counseling" provider in Dimondale, Michigan. His current practice location is
650 Waverly Rd, Dimondale, Michigan. You can reach out to his office (for appointments etc.) via phone at
(517) 507-6410.
Dr Nathanael Mark Stephens is licensed to practice in Michigan (license number 6401010246) 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 1912348475.
Healthcare Provider's Profile
| Full Name | Dr Nathanael Mark Stephens |
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| Gender | Male |
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| Speciality | Psychologist - Counseling |
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| Location | 650 Waverly Rd, Dimondale, Michigan |
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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: 1912348475
- Provider Enumeration Date: 07/12/2013
- Last Update Date: 08/08/2021
Medicare PECOS Information:
- PECOS PAC ID: 2668891995
- Enrollment ID: I20201006000789
Medical Identifiers
Medical identifiers for Dr Nathanael Mark Stephens such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1912348475 | NPI | - | NPPES |
| 1912348475 | Medicaid | MI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | 6401010248 (Michigan) | Secondary |
| 103TC1900X | Psychologist - Counseling | 6401010246 (Michigan) | 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. Dr Nathanael Mark Stephens allows following entities to bill medicare on his behalf.
| Entity Name | Bcs Of Michigan Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1164816195
PECOS PAC ID: 0840503652
Enrollment ID: O20150723007021 |
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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. Dr Nathanael Mark 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 |
|---|
Dr Nathanael Mark Stephens, LP, LPC
2580 Eaton Rapids Rd,
Lansing, MI 48911-6307
Ph: (517) 342-4253 | Dr Nathanael Mark Stephens, LP, LPC
650 Waverly Rd,
Dimondale, MI 48821-9642
Ph: (517) 507-6410 |
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