Stacey Dinkelman, in Centralia, IL - Medicare Counselor Provider

Stacey Dinkelman, is a medicare enrolled "Counselor - Mental Health" provider in Centralia, Illinois. Her current practice location is 904 E Martin Luther King Dr., Centralia, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 533-1391.

Stacey Dinkelman 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 1417328741.

Contact Information

	Stacey Dinkelman,
	904 E Martin Luther King Dr., Centralia, IL 62801
	(618) 533-1391
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Stacey Dinkelman
Gender	Female
Speciality	Counselor - Mental Health
Location	904 E Martin Luther King Dr., Centralia, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417328741
Provider Enumeration Date: 10/13/2015
Last Update Date: 10/13/2015

Medicare PECOS Information:

PECOS PAC ID: 7315477379
Enrollment ID: I20250206001845

Medical Identifiers

Medical identifiers for Stacey Dinkelman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417328741	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (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. Stacey Dinkelman allows following entities to bill medicare on her behalf.

Entity Name	Good Samaritan Regional Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487758801 PECOS PAC ID: 1658272059 Enrollment ID: O20040119000325

Entity Name	St Marys Hospital Centralia Illinois
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770687196 PECOS PAC ID: 6709788920 Enrollment ID: O20040127000118

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. Stacey Dinkelman 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
Stacey Dinkelman, 16271 Dog Alley Rd, Okawville, IL 62271-1529 Ph: () -	Stacey Dinkelman, 904 E Martin Luther King Dr., Centralia, IL 62801 Ph: (618) 533-1391

Reviews and Comments

Counselor in Centralia, IL

Travis Merrell Trone I, Counselor Medicare: Not Enrolled in Medicare Practice Location: 628 Tracy Ter, Centralia, IL 62801 Phone: 618-533-2579
Andrea Slater, Counselor Medicare: Not Enrolled in Medicare Practice Location: 904 M L King Dr, Centralia, IL 62801 Phone: 618-533-1391
Mary Gates-gully, MS, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 904 E. Martin Luther King Drive, Centralia, IL 62801 Phone: 618-533-1391 Fax: 618-533-0012
Mrs. Lolita Isaiah, Counselor Medicare: Not Enrolled in Medicare Practice Location: 904 E. Martin Luther King Drive, Centralia, IL 62801 Phone: 618-533-1391
Sydney Cummins, Counselor Medicare: Not Enrolled in Medicare Practice Location: 904 E Martin Luther Kind Drive, Centralia, IL 62801 Phone: 618-335-0973
Steffany Slininger, Counselor Medicare: Not Enrolled in Medicare Practice Location: 904 M L King Dr, Centralia, IL 62801 Phone: 618-533-1391
Kelsey Dulle, Counselor Medicare: Not Enrolled in Medicare Practice Location: 904 Martin Luther King Drive, Centralia, IL 62801 Phone: 618-533-1391 Fax: 618-533-0012

Stacey Dinkelman, - Medicare Counselor in Centralia, IL