Ms Bethany Ann Stough, CRNP in State College, PA

Ms Bethany Ann Stough, CRNP is a medicare enrolled "Nurse Practitioner - Family" in State College, Pennsylvania. Her current practice location is 320 Rolling Ridge Dr Ste 203, State College, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (814) 208-9868.

Ms Bethany Ann Stough is licensed to practice in Pennsylvania (license number SP018921) 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 1154814002.

Contact Information

	Ms Bethany Ann Stough, CRNP
	320 Rolling Ridge Dr Ste 203, State College, PA 16801-7641
	(814) 208-9868
	(833) 525-1877

Map and Direction

Provider's Profile

Full Name	Ms Bethany Ann Stough
Gender	Female
Speciality	Nurse Practitioner - Family
Location	320 Rolling Ridge Dr Ste 203, State College, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154814002
Provider Enumeration Date: 06/14/2018
Last Update Date: 01/30/2026

Medicare PECOS Information:

PECOS PAC ID: 1850643396
Enrollment ID: I20181010002054

Medical Identifiers

Medical identifiers for Ms Bethany Ann Stough such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154814002	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	SP018921 (Pennsylvania)	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. Ms Bethany Ann Stough allows following entities to bill medicare on her behalf.

Entity Name	J C Blair Memorial Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427269174 PECOS PAC ID: 2668378407 Enrollment ID: O20040121000045

Entity Name	Upmc Altoona Regional Health Services, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396724217 PECOS PAC ID: 5395659312 Enrollment ID: O20040312000257

Entity Name	J C Blair Medical Services Inc
Entity Type	Part B Supplier - Hospital Department(s)
Entity Identifiers	NPI Number: 1861575938 PECOS PAC ID: 7416051545 Enrollment ID: O20070329000662

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. Ms Bethany Ann Stough 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
Ms Bethany Ann Stough, CRNP 320 Rolling Ridge Dr Ste 203, State College, PA 16801-7641 Ph: (814) 208-9868	Ms Bethany Ann Stough, CRNP 320 Rolling Ridge Dr Ste 203, State College, PA 16801-7641 Ph: (814) 208-9868

Reviews and Comments

Nurse Practitioner Nurses in State College, PA

Reshay Danielle Giles-mitchell, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 330 Innovation Blvd Fl 2, State College, PA 16803 Phone: 888-731-8994
Melissa Ann Wallace, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 905 University Dr, State College, PA 16801 Phone: 814-238-8418 Fax: 814-234-2888
Katy Nelson, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 476 Rolling Ridge Dr, State College, PA 16801 Phone: 814-689-4980
Kimberly Anne Handel, MSN, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1850 E Park Ave, Suite 310, State College, PA 16803 Phone: 814-863-8492
Melissa Kulbis, AGNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 330 Innovation Blvd, State College, PA 16803 Phone: 877-779-2429
Megan Waite, DNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1800 E Park Ave, State College, PA 16803 Phone: 814-231-7000
Michelle M. Black, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 120 Radnor Rd Ste 100, State College, PA 16801 Phone: 814-231-7868 Fax: 814-238-4169

Ms Bethany Ann Stough, CRNP - Medicare Nurse Practitioner in State College, PA