Stephanie Dianne Rose, PHD is a medicare enrolled "Psychologist - Counseling" provider in Crawfordsville, Indiana. She graduated from medical school in 2015 and has 9 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice R P Therapy Llc, Valley Oaks Health Inc and her current practice location is
1480 Darlington Ave, Crawfordsville, Indiana. You can reach out to her office (for appointments etc.) via phone at
(765) 362-2852.
Stephanie Dianne Rose is licensed to practice in Indiana (license number 99072078A) 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 1750743373.
Healthcare Provider's Profile
Full Name | Stephanie Dianne Rose |
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Gender | Female |
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Speciality | Clinical Psychologist |
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Experience | 9 Years |
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Location | 1480 Darlington Ave, Crawfordsville, Indiana |
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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:
- Stephanie Dianne Rose graduated from medical school in 2015
NPI Data:
- NPI Number: 1750743373
- Provider Enumeration Date: 03/23/2016
- Last Update Date: 03/23/2016
Medicare PECOS Information:
- PECOS PAC ID: 2567760416
- Enrollment ID: I20160411001089
Medical Identifiers
Medical identifiers for Stephanie Dianne Rose such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1750743373 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC1900X | Psychologist - Counseling | 99072078A (Indiana) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
R P Therapy Llc | 4789076373 | 6 |
Valley Oaks Health Inc | 7315927563 | 51 |
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 Dianne Rose allows following entities to bill medicare on her behalf.
Entity Name | Valley Oaks Health Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1689629990 PECOS PAC ID: 7315927563 Enrollment ID: O20040720001286 |
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Entity Name | R P Therapy Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1912667478 PECOS PAC ID: 4789076373 Enrollment ID: O20220111000861 |
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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. Stephanie Dianne Rose 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 Dianne Rose, PHD 1201 W Main St, Crawfordsville, IN 47933-1106 Ph: (937) 532-4914 | Stephanie Dianne Rose, PHD 1480 Darlington Ave, Crawfordsville, IN 47933-2007 Ph: (765) 362-2852 |
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