Mrs Stephanie Marie Nilsen, PHD in Durham, NC - Medicare Psychologist Provider

Mrs Stephanie Marie Nilsen, PHD is a medicare enrolled "Psychologist - Clinical" provider in Durham, North Carolina. Her current practice location is 3805 University Dr, Ste D, Durham, North Carolina. You can reach out to her office (for appointments etc.) via phone at (919) 493-0011.

Mrs Stephanie Marie Nilsen is licensed to practice in North Carolina (license number 2449) 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 1144261025.

Contact Information

	Mrs Stephanie Marie Nilsen, PHD
	3805 University Dr, Ste D, Durham, NC 27707-6206
	(919) 493-0011
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Stephanie Marie Nilsen
Gender	Female
Speciality	Psychologist - Clinical
Location	3805 University Dr, Durham, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144261025
Provider Enumeration Date: 06/09/2006
Last Update Date: 05/08/2012

Medicare PECOS Information:

PECOS PAC ID: 7618965740
Enrollment ID: I20040505001299

Medical Identifiers

Medical identifiers for Mrs Stephanie Marie Nilsen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144261025	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	2449 (North Carolina)	Primary

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. Mrs Stephanie Marie Nilsen 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
Mrs Stephanie Marie Nilsen, PHD 3805 University Dr, Ste D, Durham, NC 27707-6206 Ph: (919) 493-0011	Mrs Stephanie Marie Nilsen, PHD 3805 University Dr, Ste D, Durham, NC 27707-6206 Ph: (919) 493-0011

Reviews and Comments

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Mrs Stephanie Marie Nilsen, PHD - Medicare Psychologist in Durham, NC