Stacey Delforge, - Medicare Speech-Language Pathologist in Birnamwood, WI

Stacey Delforge, is a medicare enrolled "Speech-language Pathologist" provider in Birnamwood, Wisconsin. Her current practice location is 337 Main St, Birnamwood, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (715) 449-2576.

Stacey Delforge is licensed to practice in Wisconsin (license number 1708154) 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 1366717233.

Contact Information

Stacey Delforge,
337 Main St,
Birnamwood, WI 54414-9259
(715) 449-2576
Not Available



Healthcare Provider's Profile

Full NameStacey Delforge
GenderFemale
SpecialitySpeech-language Pathologist
Location337 Main St, Birnamwood, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1366717233
  • Provider Enumeration Date: 03/12/2012
  • Last Update Date: 03/12/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 8325420219
  • Enrollment ID: I20220809003488

Medical Identifiers

Medical identifiers for Stacey Delforge such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366717233NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-language Pathologist 1708154 (Wisconsin)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. Stacey Delforge allows following entities to bill medicare on her behalf.
Provider NamePhyt Rehab Of Wisconsin Inc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1366965931
PECOS PAC ID: 5395122196
Enrollment ID: O20220517001830

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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. Stacey Delforge 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
Stacey Delforge,
P1561 Old Lake Rd,
Birnamwood, WI 54414-9418

Ph: (715) 449-3362
Stacey Delforge,
337 Main St,
Birnamwood, WI 54414-9259

Ph: (715) 449-2576

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Speech-Language Pathologist in Birnamwood, WI


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