Stephanie Maria Canales Basurto, in Portland, OR - Medicare Marriage & Family Therapist Provider

Stephanie Maria Canales Basurto, is a medicare enrolled "Marriage & Family Therapist" provider in Portland, Oregon. Her current practice location is 12636 Se Stark St Ste 125, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 253-4600.

Stephanie Maria Canales Basurto is licensed to practice in Oregon (license number T2451) 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 1851838767.

Contact Information

	Stephanie Maria Canales Basurto,
	12636 Se Stark St Ste 125, Portland, OR 97233-1058
	(503) 253-4600
	(503) 253-4609

Map and Direction

Healthcare Provider's Profile

Full Name	Stephanie Maria Canales Basurto
Gender	Female
Speciality	Marriage & Family Therapist
Location	12636 Se Stark St Ste 125, Portland, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1851838767
Provider Enumeration Date: 01/30/2017
Last Update Date: 01/24/2024

Medicare PECOS Information:

PECOS PAC ID: 3375065964
Enrollment ID: I20250324003212

Medical Identifiers

Medical identifiers for Stephanie Maria Canales Basurto such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851838767	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	T2451 (Oregon)	Primary
101YA0400X	Counselor - Addiction (substance Use Disorder)	22-12-10524 (Oregon)	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. Stephanie Maria Canales Basurto allows following entities to bill medicare on her behalf.

Entity Name	Western Psychological And Counseling Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912008178 PECOS PAC ID: 7719975085 Enrollment ID: O20040505000049

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 Maria Canales Basurto 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 Maria Canales Basurto, 12636 Se Stark St Ste 125, Portland, OR 97233-1058 Ph: (503) 253-4600	Stephanie Maria Canales Basurto, 12636 Se Stark St Ste 125, Portland, OR 97233-1058 Ph: (503) 253-4600

Reviews and Comments

Marriage & Family Therapist in Portland, OR

Karissa Lynn Catalano, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2415 Se 43rd Ave, Portland, OR 97206 Phone: 503-238-0705
Jennifer D Samsom, MA Couples Therapy Medicare: Medicare Enrolled Practice Location: 2245 Sw Troy St, Portland, OR 97219 Phone: 503-341-6393
Therese Long, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 4300 Ne Fremont St Ste 260, Portland, OR 97213 Phone: 503-544-9996
Kathia Rabelo, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 820 Nw 21st Ave Ste B, Portland, OR 97209 Phone: 626-318-9783
Joshua Solomon, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 6011 Ne Oregon St, Portland, OR 97213 Phone: 503-385-6470
Jedidiah Smith, Couples Therapy Medicare: Medicare Enrolled Practice Location: 7393 Se 118th Dr, Portland, OR 97266 Phone: 971-381-2769
Polly Elizabeth Harrison, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 13601 Se Lincoln Ct, Portland, OR 97233 Phone: 503-558-5339

Stephanie Maria Canales Basurto, - Medicare Couples Therapy in Portland, OR