Stephanie Jane Rudow, LMSW, CAADC is a medicare enrolled "Social Worker - Clinical" provider in Lapeer, Michigan. Her current practice location is
1570 Suncrest Dr, Lapeer, Michigan. You can reach out to her office (for appointments etc.) via phone at
(810) 667-0500.
Stephanie Jane Rudow is licensed to practice in Michigan (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 1841625076.
Healthcare Provider's Profile
| Full Name | Stephanie Jane Rudow |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 1570 Suncrest Dr, Lapeer, Michigan |
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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: 1841625076
- Provider Enumeration Date: 09/06/2013
- Last Update Date: 08/07/2018
Medicare PECOS Information:
- PECOS PAC ID: 7618237231
- Enrollment ID: I20180130002104
Medical Identifiers
Medical identifiers for Stephanie Jane Rudow such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1841625076 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (Michigan) | Secondary |
| 1041C0700X | Social Worker - Clinical | (Michigan) | 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 Jane Rudow allows following entities to bill medicare on her behalf.
| Entity Name | County Of Lapeer |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1275585929 PECOS PAC ID: 4183533193 Enrollment ID: O20040504000440 |
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| Entity Name | Sacred Heart Rehabilitation Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750363305 PECOS PAC ID: 5395771240 Enrollment ID: O20050712000553 |
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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 Jane Rudow 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 Jane Rudow, LMSW, CAADC 505 E. Mill St., Capac, MI 48014 Ph: (586) 372-1939 | Stephanie Jane Rudow, LMSW, CAADC 1570 Suncrest Dr, Lapeer, MI 48446 Ph: (810) 667-0500 |
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