Dr Destin Nicole Stewart, PHD in Valdosta, GA - Medicare Psychologist Provider

Dr Destin Nicole Stewart, PHD is a medicare enrolled "Psychologist" provider in Valdosta, Georgia. Her current practice location is 3312 N Oak Street Ext Bldg D, Valdosta, Georgia. You can reach out to her office (for appointments etc.) via phone at (229) 244-2030.

Dr Destin Nicole Stewart is licensed to practice in Georgia (license number PSY003712) 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 1033545785.

Contact Information

	Dr Destin Nicole Stewart, PHD
	3312 N Oak Street Ext Bldg D, Valdosta, GA 31605-1066
	(229) 244-2030
	(229) 244-2038

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Destin Nicole Stewart
Gender	Female
Speciality	Psychologist
Location	3312 N Oak Street Ext Bldg D, Valdosta, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033545785
Provider Enumeration Date: 09/25/2013
Last Update Date: 01/19/2021

Medicare PECOS Information:

PECOS PAC ID: 1355755943
Enrollment ID: I20210121002097

Medical Identifiers

Medical identifiers for Dr Destin Nicole Stewart such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033545785	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	PSY003712 (Georgia)	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. Dr Destin Nicole Stewart allows following entities to bill medicare on her behalf.

Entity Name	Ar Psychiatric & Counseling Center Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205126943 PECOS PAC ID: 9335326941 Enrollment ID: O20110608000496

Entity Name	Lifesource Of North Carolina
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962940817 PECOS PAC ID: 7416132428 Enrollment ID: O20170418000863

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. Dr Destin Nicole Stewart 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
Dr Destin Nicole Stewart, PHD 3312 N Oak Street Ext Bldg D, Valdosta, GA 31605-1066 Ph: (229) 244-2030	Dr Destin Nicole Stewart, PHD 3312 N Oak Street Ext Bldg D, Valdosta, GA 31605-1066 Ph: (229) 244-2030

Reviews and Comments

Psychologist in Valdosta, GA

Dr. Wandamaria B Lopez, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2935 N Ashley St, Suite F, Valdosta, GA 31602 Phone: 229-333-2273 Fax: 229-293-7911
Nikovia Milledge, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3131 N Oak Street Ext Apt 12f, Valdosta, GA 31602 Phone: 793-489-5955
Dr. Marcie C Wiseman, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2704 N Oak St, Building B-3, Valdosta, GA 31602 Phone: 229-257-0100
Wilhelmenia Howell, PHD Psychologist Medicare: May Accept Medicare Assignments Practice Location: 303 Woodrow Wilson Dr, Valdosta, GA 31602 Phone: 229-244-5000 Fax: 229-244-0808
Dr. Twyla Lucinda Mancil, PH. D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2236 Bemiss Rd, Valdosta, GA 31602 Phone: 229-474-9800 Fax: 912-550-4166
Aldo Enrique Revilla, Psychologist Medicare: Not Enrolled in Medicare Practice Location: Bermiss Rd, Moody Afb, Valdosta, GA 31699 Phone: 229-257-4211

Dr Destin Nicole Stewart, PHD - Medicare Psychologist in Valdosta, GA