Mrs Stacy Marie Stefaniak Luther, PSYD in Wausau, WI - Medicare Clinical Psychologist Provider

Mrs Stacy Marie Stefaniak Luther, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Wausau, Wisconsin. She graduated from healthcare school in 2018 and has 8 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Behavioral Health Clinic Llc and her current practice location is 630 S 36th Ave, Wausau, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (715) 842-9500.

Mrs Stacy Marie Stefaniak Luther is licensed to practice in Wisconsin (license number 4116-57) 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 1649666926.

Contact Information

	Mrs Stacy Marie Stefaniak Luther, PSYD
	630 S 36th Ave, Wausau, WI 54401-3930
	(715) 842-9500
	(715) 848-0425

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Stacy Marie Stefaniak Luther
Gender	Female
Speciality	Clinical Psychologist
Experience	8 Years
Location	630 S 36th Ave, Wausau, Wisconsin
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:

Mrs Stacy Marie Stefaniak Luther graduated from medical school in 2018

NPI Data:

NPI Number: 1649666926
Provider Enumeration Date: 04/13/2015
Last Update Date: 12/13/2022

Medicare PECOS Information:

PECOS PAC ID: 2769813849
Enrollment ID: I20230117000130

Medical Identifiers

Medical identifiers for Mrs Stacy Marie Stefaniak Luther such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649666926	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	2499 - 226 (Wisconsin)	Secondary
103TC0700X	Psychologist - Clinical	4116-57 (Wisconsin)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Behavioral Health Clinic Llc	8628409885	27

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. Mrs Stacy Marie Stefaniak Luther allows following entities to bill medicare on her behalf.

Entity Name	Behavioral Health Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831442359 PECOS PAC ID: 8628409885 Enrollment ID: O20200504002000

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. Mrs Stacy Marie Stefaniak Luther 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
Mrs Stacy Marie Stefaniak Luther, PSYD 630 S 36th Ave, Wausau, WI 54401-3930 Ph: (715) 842-9500	Mrs Stacy Marie Stefaniak Luther, PSYD 630 S 36th Ave, Wausau, WI 54401-3930 Ph: (715) 842-9500

Mrs Stacy Marie Stefaniak Luther, PSYD - Medicare Counselor in Wausau, WI