Steffani Lorraine Kizziar, PSYD in Salem, OR - Medicare Psychologist Provider

Steffani Lorraine Kizziar, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Salem, Oregon. Her current practice location is 698 12th St Se Ste 145, Salem, Oregon. You can reach out to her office (for appointments etc.) via phone at (415) 847-0746.

Steffani Lorraine Kizziar is licensed to practice in Oregon (license number 3745) 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 1437688553.

Contact Information

	Steffani Lorraine Kizziar, PSYD
	698 12th St Se Ste 145, Salem, OR 97301-4076
	(415) 847-0746
	(415) 847-0746

Map and Direction

Healthcare Provider's Profile

Full Name	Steffani Lorraine Kizziar
Gender	Female
Speciality	Psychologist - Clinical
Location	698 12th St Se Ste 145, Salem, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1437688553
Provider Enumeration Date: 06/12/2017
Last Update Date: 02/17/2025

Medicare PECOS Information:

PECOS PAC ID: 8527401397
Enrollment ID: I20240409002046

Medical Identifiers

Medical identifiers for Steffani Lorraine Kizziar such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1437688553	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	3745 (Oregon)	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. Steffani Lorraine Kizziar allows following entities to bill medicare on her behalf.

Entity Name	Larsen Sanchez Psychology Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588041388 PECOS PAC ID: 6608138383 Enrollment ID: O20180315002490

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. Steffani Lorraine Kizziar 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
Steffani Lorraine Kizziar, PSYD 230 Judson St S, Salem, OR 97302-5309 Ph: (415) 847-0746	Steffani Lorraine Kizziar, PSYD 698 12th St Se Ste 145, Salem, OR 97301-4076 Ph: (415) 847-0746

Reviews and Comments

Psychologist in Salem, OR

Marcel Flores, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 435 Lancaster Dr Ne, Salem, OR 97301 Phone: 503-585-6388
Dr. Christine Wung, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2485 12th St Se, Wvp Boulder Creek, Salem, OR 97302 Phone: 503-967-1411
Dr. Carlos A Taloyo, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2250 D St Ne, Salem, OR 97301 Phone: 503-364-6093 Fax: 503-364-5121
Dr. Stephanie Van Orden, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2600 Center St Ne, Salem, OR 97301 Phone: 503-945-2800
Carlene Kaliher Shultz, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2600 Center St Ne, Oregon State Hospital, Salem, OR 97301 Phone: 503-945-2800
Dr. Sarah Marie Mckay, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2600 Center St Ne, Salem, OR 97301 Phone: 503-947-0215
Dr. Elizabeth Quackenbush, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2493 State St, Salem, OR 97301 Phone: 503-588-1010 Fax: 503-588-9424

Steffani Lorraine Kizziar, PSYD - Medicare Psychologist in Salem, OR