Stephanie Kristen Burkhard, MA, QMHP is a medicare enrolled "Psychologist" provider in Mount Orab, Ohio. She graduated from medical school in 2023 and has 3 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Healthsource Of Ohio, Inc. and her current practice location is
150 Health Partners Cir, Mount Orab, Ohio. You can reach out to her office (for appointments etc.) via phone at
(937) 444-2514.
Stephanie Kristen Burkhard 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 1477191229.
Healthcare Provider's Profile
| Full Name | Stephanie Kristen Burkhard |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 3 Years |
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| Location | 150 Health Partners Cir, Mount Orab, Ohio |
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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 Kristen Burkhard graduated from medical school in 2023
NPI Data:
- NPI Number: 1477191229
- Provider Enumeration Date: 12/11/2019
- Last Update Date: 10/03/2024
Medicare PECOS Information:
- PECOS PAC ID: 7214460849
- Enrollment ID: I20241104002431
Medical Identifiers
Medical identifiers for Stephanie Kristen Burkhard such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1477191229 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Healthsource Of Ohio, Inc. | 2264328749 | 49 |
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 Kristen Burkhard allows following entities to bill medicare on her behalf.
| Entity Name | Healthsource Of Ohio, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1275966863 PECOS PAC ID: 2264328749 Enrollment ID: O20140521002611 |
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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 Kristen Burkhard 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 Kristen Burkhard, MA, QMHP 424 Wards Corner Rd Ste 200, Loveland, OH 45140-6966 Ph: (513) 707-4041 | Stephanie Kristen Burkhard, MA, QMHP 150 Health Partners Cir, Mount Orab, OH 45154-8610 Ph: (937) 444-2514 |
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