Mrs Stephanie Walsh Roumiantseva, CRNP - Medicare Family Medicine in Tafton, PA

Mrs Stephanie Walsh Roumiantseva, CRNP is a medicare enrolled "Family Medicine" physician in Tafton, Pennsylvania. Her current practice location is 132 Manly Rd, Tafton, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (570) 226-2151.

Mrs Stephanie Walsh Roumiantseva is licensed to practice in Pennsylvania (license number SP025920) 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 1003540287.

Contact Information

Mrs Stephanie Walsh Roumiantseva, CRNP
132 Manly Rd,
Tafton, PA 18464-7829
(570) 226-2151
(570) 226-1861



Physician's Profile

Full NameMrs Stephanie Walsh Roumiantseva
GenderFemale
SpecialityFamily Medicine
Location132 Manly Rd, Tafton, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003540287
  • Provider Enumeration Date: 07/13/2022
  • Last Update Date: 07/11/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0143693549
  • Enrollment ID: I20230321000375

Medical Identifiers

Medical identifiers for Mrs Stephanie Walsh Roumiantseva such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003540287NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine SP025920 (Pennsylvania)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. Mrs Stephanie Walsh Roumiantseva allows following entities to bill medicare on her behalf.
Entity NameWayne Memorial Community Health Centers
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952395121
PECOS PAC ID: 3072598937
Enrollment ID: O20040623001109

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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. Mrs Stephanie Walsh Roumiantseva 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 AddressPractice Location Address
Mrs Stephanie Walsh Roumiantseva, CRNP
601 Park St # 1445,
Honesdale, PA 18431-1445

Ph: () -
Mrs Stephanie Walsh Roumiantseva, CRNP
132 Manly Rd,
Tafton, PA 18464-7829

Ph: (570) 226-2151

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Family Medicine Doctors in Tafton, PA


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