DR. EMILY STEFANO PHD
NPI 1609416932
Psychologist - Clinical in Winston Salem, NC

Active since January 15, 2020PECOS EnrolledAccepts Medicare Assignment
4614 COUNTRY CLUB RD, WINSTON SALEM, NC 27104(336) 713-1954 Get Directions Write a Review

NPPES record last updated: January 15, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Emily Stefano Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. EMILY STEFANO PHD (NPI 1609416932) is an individual clinical provider in Winston Salem, North Carolina, licensed in North Carolina (103365) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1609416932
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. EMILY STEFANOCredential: PHD
Location Address4614 COUNTRY CLUB RDWinston Salem, NC 27104-3520
Mailing Address4614 Country Club RdWinston Salem, NC 27104-3520 · (336) 713-1954
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJanuary 15, 2020
✔ NPI 1609416932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in NC · 103365
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
4614 COUNTRY CLUB RD, Winston Salem, NC 27104

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Emily Stefano Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2466889738
PECOS Enrollment IDI20200226000930
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Emily Stefano reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Multi-Specialty
MEDICAL CENTER BLVD
Winston Salem, NC 27157
  • Reassigned Medicare billing, North Carolina enrollment
  • 3,003 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$165.09 typical visit price
range $54.12 – $165.09
Typical copayment $41.27 (range $13.53 – $41.27)
Most-billed visit code 99205
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
4614 COUNTRY CLUB RD
WINSTON SALEM, NC 27104
Internal Medicine
4614 COUNTRY CLUB RD
WINSTON SALEM, NC 27104
Internal Medicine
4614 COUNTRY CLUB RD
WINSTON SALEM, NC 27104
Psychologist
4614 COUNTRY CLUB RD
WINSTON SALEM, NC 27104
Internal Medicine
4614 COUNTRY CLUB RD
WINSTON SALEM, NC 27104
Dietitian, Registered
4614 COUNTRY CLUB RD
WINSTON SALEM, NC 27104
Internal Medicine
4614 COUNTRY CLUB RD
WINSTON SALEM, NC 27104
Psychologist (Clinical)
4614 COUNTRY CLUB RD
WINSTON SALEM, NC 27104

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Emily Stefano's NPI number?

The NPI number for Emily Stefano is 1609416932. It was assigned to this individual provider in the NPPES registry on January 15, 2020.

Where is Emily Stefano located?

Emily Stefano practices at 4614 Country Club Rd, Winston Salem, NC 27104. The listed phone number is (336) 713-1954.

What is Emily Stefano's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Emily Stefano enrolled in Medicare?

Yes. Emily Stefano is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Emily Stefano's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Emily Stefano reassigns Medicare benefits to Wake Forest University Health Sciences (Winston Salem, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Emily Stefano's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Emily Stefano accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, AmeriHealth Caritas Next and Blue Cross and Blue Shield of NC and 2 other insurers list Emily Stefano as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Emily Stefano was last updated on January 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.