Stephanie Elise Elmore, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Spokane, Washington. Her current practice location is
124 E Short Ave, Spokane, Washington. You can reach out to her office (for appointments etc.) via phone at
(509) 838-4651.
Stephanie Elise Elmore is licensed to practice in Washington (license number PY60828639) 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 1043765894.
Healthcare Provider's Profile
Full Name | Stephanie Elise Elmore |
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Gender | Female |
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Speciality | Psychologist - Clinical |
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Location | 124 E Short Ave, Spokane, Washington |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1043765894
- Provider Enumeration Date: 08/22/2016
- Last Update Date: 01/15/2020
Medicare PECOS Information:
- PECOS PAC ID: 5395171433
- Enrollment ID: I20200207001566
Medical Identifiers
Medical identifiers for Stephanie Elise Elmore such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043765894 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
103TC0700X | Psychologist - Clinical | PY60828639 (Washington) | 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. Stephanie Elise Elmore allows following entities to bill medicare on her behalf.
Entity Name | Frontier Behavioral Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1861495327 PECOS PAC ID: 5092603340 Enrollment ID: O20040308001191 |
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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. Stephanie Elise Elmore 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 |
Stephanie Elise Elmore, PSYD 107 S Division St, Spokane, WA 99202-1510 Ph: (509) 838-4651 | Stephanie Elise Elmore, PSYD 124 E Short Ave, Spokane, WA 99202-1555 Ph: (509) 838-4651 |
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