Ms Stephanie A Daugherty-dennis, MSW, CISW is a medicare enrolled "Social Worker - Clinical" provider in Monona, Wisconsin. Her current practice location is
2000 Engel St Ste 201, Monona, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(608) 440-9029.
Ms Stephanie A Daugherty-dennis is licensed to practice in * (Not Available) (license number ) 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 1619251733.
Healthcare Provider's Profile
| Full Name | Ms Stephanie A Daugherty-dennis |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 2000 Engel St Ste 201, Monona, Wisconsin |
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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: 1619251733
- Provider Enumeration Date: 10/07/2011
- Last Update Date: 12/04/2023
Medicare PECOS Information:
- PECOS PAC ID: 9133639768
- Enrollment ID: I20250611003075
Medical Identifiers
Medical identifiers for Ms Stephanie A Daugherty-dennis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1619251733 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | 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. Ms Stephanie A Daugherty-dennis allows following entities to bill medicare on her behalf.
| Entity Name | Forward Counseling And Consultation Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1487192928
PECOS PAC ID: 0042668709
Enrollment ID: O20231120000739 |
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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. Ms Stephanie A Daugherty-dennis 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 |
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Ms Stephanie A Daugherty-dennis, MSW, CISW
1101 Starlight Dr,
Madison, WI 53711-2727
Ph: (608) 316-5687 | Ms Stephanie A Daugherty-dennis, MSW, CISW
2000 Engel St Ste 201,
Monona, WI 53713-4822
Ph: (608) 440-9029 |
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