Stephanie Ross Potts, PHD is a medicare enrolled "Clinical Neuropsychologist" provider in Oshkosh, Wisconsin. She graduated from medical school in 2017 and has 8 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Aurora Medical Group, Inc. and her current practice location is
700 N Westhaven Dr, Oshkosh, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(920) 456-2030.
Stephanie Ross Potts is licensed to practice in Wisconsin (license number 5131) 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 1144873159.
Healthcare Provider's Profile
| Full Name | Stephanie Ross Potts |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 8 Years |
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| Location | 700 N Westhaven Dr, Oshkosh, Wisconsin |
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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. |
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Medical Education and Training:
- Stephanie Ross Potts graduated from medical school in 2017
NPI Data:
- NPI Number: 1144873159
- Provider Enumeration Date: 07/18/2019
- Last Update Date: 09/10/2024
Medicare PECOS Information:
- PECOS PAC ID: 1254661432
- Enrollment ID: I20240305000850
Medical Identifiers
Medical identifiers for Stephanie Ross Potts such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1144873159 | NPI | - | NPPES |
| 100266414 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | 2018013237 (Missouri) | Secondary |
| 103T00000X | Psychologist | 071.010747 (Illinois) | Secondary |
| 103G00000X | Clinical Neuropsychologist | 5131 (Wisconsin) | Primary |
| 103G00000X | Clinical Neuropsychologist | 071.010747 (Illinois) | Secondary |
| 103G00000X | Clinical Neuropsychologist | 2018013237 (Missouri) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Aurora Medical Group, Inc. | 6709794258 | 3491 |
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 Ross Potts allows following entities to bill medicare on her behalf.
| Entity Name | Aurora Medical Group, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1427271378
PECOS PAC ID: 6709794258
Enrollment ID: O20031105000725 |
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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 Ross Potts 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 |
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Stephanie Ross Potts, PHD
Po Box 735044,
Chicago, IL 60673-5044
Ph: (800) 326-2250 | Stephanie Ross Potts, PHD
700 N Westhaven Dr,
Oshkosh, WI 54904-6947
Ph: (920) 456-2030 |
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