Stephanie Dale Guajardo, CNP in Troy, OH - Medicare Nurse Practitioner

Stephanie Dale Guajardo, CNP is a medicare enrolled "Nurse Practitioner - Women's Health" in Troy, Ohio. She graduated from nursing school in 2008 and has 18 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Kettering Independent Medical Group Inc and her current practice location is 600 W Main St Ste 330, Troy, Ohio. You can reach out to her office (for appointments etc.) via phone at (937) 429-7350.

Stephanie Dale Guajardo is licensed to practice in Ohio (license number 10124) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1649425380.

Contact Information

	Stephanie Dale Guajardo, CNP
	600 W Main St Ste 330, Troy, OH 45373-3384
	(937) 429-7350
	(937) 431-2623

Map and Direction

Provider's Profile

Full Name	Stephanie Dale Guajardo
Gender	Female
Speciality	Nurse Practitioner
Experience	18 Years
Location	600 W Main St Ste 330, Troy, Ohio
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Stephanie Dale Guajardo graduated from nursing school in 2008

NPI Data:

NPI Number: 1649425380
Provider Enumeration Date: 11/21/2008
Last Update Date: 03/08/2021

Medicare PECOS Information:

PECOS PAC ID: 9739356122
Enrollment ID: I20120126000204

Medical Identifiers

Medical identifiers for Stephanie Dale Guajardo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649425380	NPI	-	NPPES
COA10124NP	Other	OH	OHIO LICENSE
3077790	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	COA10124NP (Ohio)	Secondary
363LW0102X	Nurse Practitioner - Women's Health	10124 (Ohio)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Greene Memorial Hospital	Xenia, OH	Hospital
Soin Medical Center	Beaver creek, OH	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Kettering Independent Medical Group Inc	3173710936	602

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 Dale Guajardo allows following entities to bill medicare on her behalf.

Entity Name	Alliance Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437125572 PECOS PAC ID: 0840104360 Enrollment ID: O20031118000529

Entity Name	Kettering Independent Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629387865 PECOS PAC ID: 3173710936 Enrollment ID: O20101207000425

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 Dale Guajardo 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 Dale Guajardo, CNP 2110 Leiter Rd, Miamisburg, OH 45342-3598 Ph: (937) 914-7067	Stephanie Dale Guajardo, CNP 600 W Main St Ste 330, Troy, OH 45373-3384 Ph: (937) 429-7350

Reviews and Comments

Nurse Practitioner Nurses in Troy, OH

Ms. Melanie S Hynes, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 700 S Stanfield Rd Ste A, Troy, OH 45373 Phone: 937-339-5355 Fax: 937-339-3056
Mrs. Kara Sue Bruskotter, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3130 N County Road 25a, Troy, OH 45373 Phone: 937-638-8176
Mrs. Megan C Kreitzer, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3130 N County Road 25a, Troy, OH 45373 Phone: 937-440-4000
Mrs. Cindy Fleming, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1149 Experiment Farm Rd, Troy, OH 45373 Phone: 937-540-9920 Fax: 937-202-0213
Mrs. Kaye Marie Sekas, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 W Main St Ste 330, Troy, OH 45373 Phone: 937-980-7460 Fax: 937-980-7464
Heidi Sue Riley, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1843 W Main St, Troy, OH 45373 Phone: 937-208-4120 Fax: 937-208-4126
Janel Frilling, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1300 N County Road 25a, Troy, OH 45373 Phone: 937-332-0894 Fax: 937-339-7084

Stephanie Dale Guajardo, CNP - Medicare Nurse Practitioner in Troy, OH