Dale Victor Wayman, PHD in Indianapolis, IN - Medicare Counselor Provider

Dale Victor Wayman, PHD is a medicare enrolled "Counselor - Mental Health" provider in Indianapolis, Indiana. His current practice location is 7165 Clearvista Way, Indianapolis, Indiana. You can reach out to his office (for appointments etc.) via phone at (317) 621-5100.

Dale Victor Wayman is licensed to practice in Indiana (license number 39002265A) 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 1780698035.

Contact Information

	Dale Victor Wayman, PHD
	7165 Clearvista Way, Indianapolis, IN 46256-4621
	(317) 621-5100
	(317) 621-7896

Map and Direction

Healthcare Provider's Profile

Full Name	Dale Victor Wayman
Gender	Male
Speciality	Counselor - Mental Health
Location	7165 Clearvista Way, Indianapolis, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780698035
Provider Enumeration Date: 07/29/2006
Last Update Date: 03/19/2014

Medicare PECOS Information:

PECOS PAC ID: 3577911734
Enrollment ID: I20231128003142

Medical Identifiers

Medical identifiers for Dale Victor Wayman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780698035	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	87000600A (Indiana)	Secondary
101YM0800X	Counselor - Mental Health	39002265A (Indiana)	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. Dale Victor Wayman allows following entities to bill medicare on his behalf.

Entity Name	Community Health Network Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336119478 PECOS PAC ID: 1850203977 Enrollment ID: O20031105000554

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. Dale Victor Wayman 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
Dale Victor Wayman, PHD 6626 E 75th Street, Ste 500, Indianapolis, IN 46250-2890 Ph: (317) 621-7751	Dale Victor Wayman, PHD 7165 Clearvista Way, Indianapolis, IN 46256-4621 Ph: (317) 621-5100

Reviews and Comments

Counselor in Indianapolis, IN

Miss Tangela Cameron, B.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 2626 E 46th St, Indianapolis, IN 46205 Phone: 317-475-9066 Fax: 317-257-3602
Elizabeth J Malcom, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8401 Harcourt Rd, Indianapolis, IN 46260 Phone: 317-338-4600 Fax: 317-338-4890
Molly Tompkins, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2626 E 46th St, Ste J, Indianapolis, IN 46205 Phone: 317-475-9066
Marlene J Villecco, MS, LCAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5638 Professional Cir, Indianapolis, IN 46241 Phone: 888-714-1927 Fax: 317-247-8935
Camishe R Nunley, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5502 East 16th Street, Suite A 31, Indianapolis, IN 46218 Phone: 317-355-1800
Mrs. Unchana Thamasak, M.S Counselor Medicare: Not Enrolled in Medicare Practice Location: 3905 Vincennes Rd, Suite 303, Indianapolis, IN 46268 Phone: 317-471-3522 Fax: 317-471-3508
Mark P Radel, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2011 N Meridian St, Indianapolis, IN 46202 Phone: 317-924-7010 Fax: 317-941-2208

Dale Victor Wayman, PHD - Medicare Counselor in Indianapolis, IN