Stacey R Gedeon, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Houghton Lake, Michigan. She graduated from medical school in 1997 and has 27 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Midmichigan Health Services and her current practice location is
9249 W Lake City Rd, Houghton Lake, Michigan. You can reach out to her office (for appointments etc.) via phone at
(989) 422-5122.
Stacey R Gedeon is licensed to practice in Michigan (license number 6301010429) 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 1336172485.
Healthcare Provider's Profile
Full Name | Stacey R Gedeon |
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Gender | Female |
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Speciality | Clinical Psychologist |
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Experience | 27 Years |
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Location | 9249 W Lake City Rd, Houghton Lake, Michigan |
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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:
- Stacey R Gedeon graduated from medical school in 1997
NPI Data:
- NPI Number: 1336172485
- Provider Enumeration Date: 07/09/2006
- Last Update Date: 10/15/2016
Medicare PECOS Information:
- PECOS PAC ID: 8820162878
- Enrollment ID: I20080808000437
Medical Identifiers
Medical identifiers for Stacey R Gedeon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1336172485 | NPI | - | NPPES |
G27604070 | Other | MI | MEDICARE PTAN |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | 6301010429 (Michigan) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Midmichigan Health Services | 7911800495 | 23 |
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. Stacey R Gedeon allows following entities to bill medicare on her behalf.
Entity Name | Midmichigan Health Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1912998287 PECOS PAC ID: 7911800495 Enrollment ID: O20040130001007 |
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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. Stacey R Gedeon 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 |
Stacey R Gedeon, PSYD 9249 W Lake City Rd, Houghton Lake, MI 48629-9602 Ph: (989) 422-5122 | Stacey R Gedeon, PSYD 9249 W Lake City Rd, Houghton Lake, MI 48629-9602 Ph: (989) 422-5122 |
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