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

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



Healthcare Provider's Profile

Full NameStephanie J Corneliussen
GenderFemale
SpecialityClinical Psychologist
Experience14 Years
Location100 4th St S, Fargo, North Dakota
Accepts Medicare AssignmentsYes. 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.
IdentifierTypeStateIssuer
1255605762NPI-NPPES
16885MedicaidND

Medical Taxonomies and Licenses

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

Medical Facilities Affiliation

Facility NameLocationFacility Type
Sanford Medical Center FargoFargo, NDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sanford Medical Center Fargo84269678031094

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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 NameSanford Clinic North
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548532468
PECOS PAC ID: 4284546151
Enrollment ID: O20031209000264

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Entity NameSanford Medical Center Fargo
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184917924
PECOS PAC ID: 8426967803
Enrollment ID: O20110701000031

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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 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 AddressPractice 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

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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

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