Dionne Dynlacht, PHD, HSPP is a medicare enrolled "Psychologist - Clinical Child & Adolescent" provider in Indianapolis, Indiana. Her current practice location is
12647 Geist Cove Dr, Indianapolis, Indiana. You can reach out to her office (for appointments etc.) via phone at
(317) 826-4205.
Dionne Dynlacht is licensed to practice in Indiana (license number 20041360A) 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 1972547693.
Healthcare Provider's Profile
| Full Name | Dionne Dynlacht |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 12647 Geist Cove Dr, Indianapolis, Indiana |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dionne Dynlacht attended and graduated from in
NPI Data:
- NPI Number: 1972547693
- Provider Enumeration Date: 06/15/2006
- Last Update Date: 04/22/2021
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dionne Dynlacht such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972547693 | NPI | - | NPPES |
| 201057980 | Medicaid | IN | |
| 100323760A | Medicaid | IN | |
| 000000849448 | Other | IN | ANTHEM BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 20041360A (Indiana) | Secondary |
| 103TB0200X | Psychologist - Cognitive & Behavioral | 20041360A (Indiana) | Secondary |
| 103TC0700X | Psychologist - Clinical | 20041360A (Indiana) | Secondary |
| 103TC1900X | Psychologist - Counseling | 20041360A (Indiana) | Secondary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 20041360A (Indiana) | Primary |
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. Dionne Dynlacht 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 |
|---|
Dionne Dynlacht, PHD, HSPP
12647 Geist Cove Dr,
Indianapolis, IN 46236-7239
Ph: () - | Dionne Dynlacht, PHD, HSPP
12647 Geist Cove Dr,
Indianapolis, IN 46236-7239
Ph: (317) 826-4205 |
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