Brandon William Maynard, PSYD, MA is a medicare enrolled "Psychologist - Clinical" provider in Cheyenne, Wyoming. His current practice location is
2526 Seymour Ave, Cheyenne, Wyoming. You can reach out to his office (for appointments etc.) via phone at
(307) 634-9653.
Brandon William Maynard is licensed to practice in Wyoming (license number 668) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1114215746.
Healthcare Provider's Profile
Full Name | Brandon William Maynard |
---|
Gender | Male |
---|
Speciality | Psychologist - Clinical |
---|
Location | 2526 Seymour Ave, Cheyenne, Wyoming |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1114215746
- Provider Enumeration Date: 07/18/2011
- Last Update Date: 07/26/2018
Medicare PECOS Information:
- PECOS PAC ID: 2769732767
- Enrollment ID: I20221014002818
Medical Identifiers
Medical identifiers for Brandon William Maynard such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114215746 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
103TC0700X | Psychologist - Clinical | 668 (Wyoming) | 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. Brandon William Maynard allows following entities to bill medicare on his behalf.
Entity Name | Comprehensive Psychological Services Inc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1407878333 PECOS PAC ID: 2365345741 Enrollment ID: O20040202000251 |
---|
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. Brandon William Maynard 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 Address | Practice Location Address |
Brandon William Maynard, PSYD, MA 510 W 29th St, Cheyenne, WY 82001-2760 Ph: (307) 426-4728 | Brandon William Maynard, PSYD, MA 2526 Seymour Ave, Cheyenne, WY 82001 Ph: (307) 634-9653 |
Reviews and Comments