Stacie Nicole Fish, in Salem, OR - Medicare Counselor Provider

Stacie Nicole Fish, is a medicare enrolled "Counselor" provider in Salem, Oregon. Her current practice location is 147 Commercial St Ne, Salem, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 589-3122.

Stacie Nicole Fish is licensed to practice in Oregon (license number C9713) 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 1417536020.

Contact Information

	Stacie Nicole Fish,
	147 Commercial St Ne, Salem, OR 97301-3416
	(503) 589-3122
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Stacie Nicole Fish
Gender	Female
Speciality	Counselor
Location	147 Commercial St Ne, Salem, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417536020
Provider Enumeration Date: 04/02/2021
Last Update Date: 05/06/2025

Medicare PECOS Information:

PECOS PAC ID: 6709304553
Enrollment ID: I20250515003014

Medical Identifiers

Medical identifiers for Stacie Nicole Fish such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417536020	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	(* (Not Available))	Secondary
101Y00000X	Counselor	C9713 (Oregon)	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. Stacie Nicole Fish allows following entities to bill medicare on her behalf.

Entity Name	Silverton Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669424354 PECOS PAC ID: 8921901877 Enrollment ID: O20040129000172

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. Stacie Nicole Fish 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
Stacie Nicole Fish, Po Box 3417, Portland, OR 97208-3417 Ph: () -	Stacie Nicole Fish, 147 Commercial St Ne, Salem, OR 97301-3416 Ph: (503) 589-3122

Reviews and Comments

Counselor in Salem, OR

Shannon Beard, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 1900 Hines St Se Ste 219, Salem, OR 97302 Phone: 541-393-8783
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Tara Barrett, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2355 State St Ste 101, Salem, OR 97301 Phone: 971-599-3380
Rachael L De La Torre, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 2600 Center St Ne, Salem, OR 97301 Phone: 503-945-2800
Ms. Tommie Mae Salas, MS/P, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 275 37th Ave Se, Salem, OR 97317 Phone: 503-983-0489 Fax: 503-585-0491
Mr. Thomas Wilson Dooley, MS,LPC, CRC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1515 Liberty St Se, Salem, OR 97302 Phone: 503-951-6280 Fax: 503-468-3130
Lynda Raylene Conley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1599 State St, Salem, OR 97301 Phone: 503-363-3260

Stacie Nicole Fish, - Medicare Counselor in Salem, OR