Stacey B. Foerstner, Phd, Llc - Medicare Mental Health Clinic in Willoughby, OH

Stacey B. Foerstner, Phd, Llc is a medicare enrolled mental health clinic (Psychologist) in Willoughby, Ohio. The current practice location for Stacey B. Foerstner, Phd, Llc is 4212 State Route 306 Ste 310, Willoughby, Ohio. For appointments, you can reach them via phone at (440) 477-1007. The mailing address for Stacey B. Foerstner, Phd, Llc is 4212 State Route 306 Ste 310, Willoughby, Ohio and phone number is (440) 477-1007.

Stacey B. Foerstner, Phd, Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1487339131. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (440) 477-1007.

Contact Information

Stacey B. Foerstner, Phd, Llc
4212 State Route 306 Ste 310
Willoughby
OH 44094-9248
(440) 477-1007
Not Available

Mental Health Clinic Profile

Full NameStacey B. Foerstner, Phd, Llc
SpecialityPsychologist
Location4212 State Route 306 Ste 310, Willoughby, Ohio
Authorized Official Name and PositionStacey Brewster Foerstner (SOLE MEMBER)
Authorized Official Contact4404771007
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Stacey B. Foerstner, Phd, Llc
4212 State Route 306 Ste 310
Willoughby
OH 44094-9248

Ph: (440) 477-1007
Stacey B. Foerstner, Phd, Llc
4212 State Route 306 Ste 310
Willoughby
OH 44094-9248

Ph: (440) 477-1007

NPI Details:

NPI Number1487339131
Provider Enumeration Date06/20/2023
Last Update Date06/20/2023
Certification Date06/20/2023

Medicare PECOS Information:

Medicare PECOS PAC ID9234590670
Medicare Enrollment IDO20230801002211

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Medical Identifiers

Medical identifiers for Stacey B. Foerstner, Phd, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487339131NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Stacey B. Foerstner, Phd, Llc acts as a billing entity for following providers:
Provider NameStacey B Foerstner
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1740200245
PECOS PAC ID: 7517998883
Enrollment ID: I20111212000361

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Psychologist in Willoughby, OH

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