Zachary Thomas Stine, PSYD is a medicare enrolled "Psychologist" provider in Milwaukie, Oregon. He graduated from healthcare school in 2023 and has 3 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Cornerstone Clinical Services Pc and his current practice location is
6400 Se Lake Rd Ste 325, Milwaukie, Oregon. You can reach out to his office (for appointments etc.) via phone at
(503) 786-1711.
Zachary Thomas Stine is licensed to practice in Oregon (license number 3796) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1194363945.
Healthcare Provider's Profile
| Full Name | Zachary Thomas Stine |
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| Gender | Male |
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| Speciality | Clinical Psychologist |
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| Experience | 3 Years |
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| Location | 6400 Se Lake Rd Ste 325, Milwaukie, Oregon |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Zachary Thomas Stine graduated from medical school in 2023
NPI Data:
- NPI Number: 1194363945
- Provider Enumeration Date: 12/11/2019
- Last Update Date: 09/24/2024
Medicare PECOS Information:
- PECOS PAC ID: 4880125541
- Enrollment ID: I20241004001995
Medical Identifiers
Medical identifiers for Zachary Thomas Stine such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1194363945 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | 3796 (Oregon) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Cornerstone Clinical Services Pc | 3274523378 | 13 |
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. Zachary Thomas Stine allows following entities to bill medicare on his behalf.
| Entity Name | Cornerstone Clinical Services Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093892895
PECOS PAC ID: 3274523378
Enrollment ID: O20040512000950 |
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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. Zachary Thomas Stine 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 |
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Zachary Thomas Stine, PSYD
6400 Se Lake Rd Ste 325,
Milwaukie, OR 97222-2185
Ph: (503) 786-1711 | Zachary Thomas Stine, PSYD
6400 Se Lake Rd Ste 325,
Milwaukie, OR 97222-2185
Ph: (503) 786-1711 |
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