Stacey Lyn Allen, CSW is a medicare enrolled "Social Worker - Clinical" provider in Ammon, Idaho. Her current practice location is
1675 Curlew Dr, Ammon, Idaho. You can reach out to her office (for appointments etc.) via phone at
(208) 523-5319.
Stacey Lyn Allen is licensed to practice in Idaho (license number 35279) 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 1134459548.
Healthcare Provider's Profile
| Full Name | Stacey Lyn Allen |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 1675 Curlew Dr, Ammon, Idaho |
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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: 1134459548
- Provider Enumeration Date: 01/06/2010
- Last Update Date: 06/25/2025
Medicare PECOS Information:
- PECOS PAC ID: 1254664121
- Enrollment ID: I20221004000462
Medical Identifiers
Medical identifiers for Stacey Lyn Allen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1134459548 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | LMSW-30182 (Idaho) | Secondary |
| 101YM0800X | Counselor - Mental Health | LMSW-30182 (Idaho) | Secondary |
| 104100000X | Social Worker | LMSW-30182 (Idaho) | Secondary |
| 1041C0700X | Social Worker - Clinical | LMSW-30182 (Idaho) | Secondary |
| 1041C0700X | Social Worker - Clinical | 35279 (Idaho) | 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 Lyn Allen allows following entities to bill medicare on her behalf.
| Entity Name | Palmetto Psych Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1427650050
PECOS PAC ID: 0143634972
Enrollment ID: O20220929003557 |
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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. Stacey Lyn Allen 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 Lyn Allen, CSW
Po Box 2106,
Idaho Falls, ID 83403-2106
Ph: (208) 360-2850 | Stacey Lyn Allen, CSW
1675 Curlew Dr,
Ammon, ID 83406-4718
Ph: (208) 523-5319 |
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