Stana Rae Self, LPC in Hugo, OK - Medicare Counselor Provider

Stana Rae Self, LPC is a medicare enrolled "Counselor" provider in Hugo, Oklahoma. Her current practice location is 976 N 4268 Rd, Hugo, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (580) 372-3535.

Stana Rae Self is licensed to practice in Oklahoma (license number 10493) 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 1063035871.

Contact Information

	Stana Rae Self, LPC
	976 N 4268 Rd, Hugo, OK 74743-6945
	(580) 372-3535
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Stana Rae Self
Gender	Female
Speciality	Counselor
Location	976 N 4268 Rd, Hugo, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063035871
Provider Enumeration Date: 05/27/2020
Last Update Date: 05/22/2026

Medicare PECOS Information:

PECOS PAC ID: 8123465481
Enrollment ID: I20240321002913

Medical Identifiers

Medical identifiers for Stana Rae Self such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063035871	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	10493 (Oklahoma)	Primary
171M00000X	Case Manager/care Coordinator	(* (Not Available))	Secondary

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. Stana Rae Self allows following entities to bill medicare on her behalf.

Entity Name	Cornerstone Counseling Service, L.l.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922353119 PECOS PAC ID: 5890042634 Enrollment ID: O20240102001814

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. Stana Rae Self 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
Stana Rae Self, LPC 976 N 4268 Rd, Hugo, OK 74743-6945 Ph: (580) 372-3535	Stana Rae Self, LPC 976 N 4268 Rd, Hugo, OK 74743-6945 Ph: (580) 372-3535

Reviews and Comments

Counselor in Hugo, OK

Ms. Roberta Lee Armstrong, Counselor Medicare: Not Enrolled in Medicare Practice Location: 612 E Jackson St, Hugo, OK 74743 Phone: 580-326-2200 Fax: 580-326-2221
Mrs. Patricia Irene Wallace, LPC,LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 104 N 4th St, Hugo, OK 74743 Phone: 580-326-7531 Fax: 580-326-2377
Mr. Don G. Loman, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 117 E Main St, Hugo, OK 74743 Phone: 580-326-7477 Fax: 580-326-6400
Jordan Jones, Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 N 5th St, Hugo, OK 74743 Phone: 580-326-9475 Fax: 580-326-9028
Elizabeth Pierce, Counselor Medicare: Not Enrolled in Medicare Practice Location: 418 N 4240 Rd, Hugo, OK 74743 Phone: 580-372-7430
Ms. Heather Sarese Dill, BA IN PSYCHOLOGY Counselor Medicare: Not Enrolled in Medicare Practice Location: 308 E Jefferson St, Hugo, OK 74743 Phone: 580-326-7862

Stana Rae Self, LPC - Medicare Counselor in Hugo, OK