Stephanie J Corneliussen, PSYD in Fargo, ND - Medicare Clinical Psychologist Provider

Stephanie J Corneliussen, PSYD is a medicare enrolled "Psychologist" provider in Fargo, North Dakota. She graduated from medical school in 2010 and has 14 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Sanford Medical Center Fargo and her current practice location is 100 4th St S, Fargo, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 234-3100.

Stephanie J Corneliussen is licensed to practice in * (Not Available) (license number ) 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 1255605762.

Contact Information

	Stephanie J Corneliussen, PSYD
	100 4th St S, Fargo, ND 58103-1929
	(701) 234-3100
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Stephanie J Corneliussen
Gender	Female
Speciality	Clinical Psychologist
Experience	14 Years
Location	100 4th St S, Fargo, North Dakota
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 J Corneliussen graduated from medical school in 2010

NPI Data:

NPI Number: 1255605762
Provider Enumeration Date: 03/01/2012
Last Update Date: 07/26/2012

Medicare PECOS Information:

PECOS PAC ID: 8628234192
Enrollment ID: I20151103001114

Medical Identifiers

Medical identifiers for Stephanie J Corneliussen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255605762	NPI	-	NPPES
16885	Medicaid	ND

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	(* (Not Available))	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Sanford Medical Center Fargo	Fargo, ND	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sanford Medical Center Fargo	8426967803	1094

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 J Corneliussen allows following entities to bill medicare on her behalf.

Entity Name	Sanford Clinic North
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548532468 PECOS PAC ID: 4284546151 Enrollment ID: O20031209000264

Entity Name	Sanford Medical Center Fargo
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184917924 PECOS PAC ID: 8426967803 Enrollment ID: O20110701000031

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 J Corneliussen 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 J Corneliussen, PSYD Po Box 2168, Fargo, ND 58107-2168 Ph: (701) 234-3100	Stephanie J Corneliussen, PSYD 100 4th St S, Fargo, ND 58103-1929 Ph: (701) 234-3100

Reviews and Comments

Psychologist in Fargo, ND

Dr. Jaryn Lynn Allen, PH.D., LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4733 Amber Valley Pkwy S Ste W, Fargo, ND 58104 Phone: 701-368-7400
Dr. Nicola Ashton Herting, PHD, LP Psychologist Medicare: Medicare Enrolled Practice Location: 100 4th St S Ste 302, Fargo, ND 58103 Phone: 701-234-4587
Ryan D Jagim, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 100 4th St S, Fargo, ND 58103 Phone: 701-234-4141 Fax: 701-234-4024
Dr. Sarah R. Edwards, LP, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 3309 Fiechtner Dr S Ste H, Fargo, ND 58103 Phone: 218-303-6164
Dr. Ani Celine Mangold, PHD, LP Psychologist Medicare: Medicare Enrolled Practice Location: 100 4th St S, Fargo, ND 58103 Phone: 701-234-2000
Jay Robert Phillippi, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 112 University Dr N Ste 300, Fargo, ND 58102 Phone: 701-866-3641 Fax: 701-660-1071
Gregory A Hauge, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1702 University Dr S, Fargo, ND 58103 Phone: 701-364-3300 Fax: 701-364-8906

Stephanie J Corneliussen, PSYD - Medicare Psychologist in Fargo, ND