Dr Danielle Marie Ploetz, PHD - Medicare Counselor in Baltimore, MD

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Dr Danielle Marie Ploetz, PHD is a medicare enrolled "Clinical Neuropsychologist" provider in Baltimore, Maryland. Her current practice location is 2931 E Biddle St, Baltimore, Maryland. You can reach out to her office (for appointments etc.) via phone at (443) 923-1872.

Dr Danielle Marie Ploetz is licensed to practice in Maryland (license number 05595) 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 1669660999.

Contact Information

Dr Danielle Marie Ploetz, PHD
2931 E Biddle St,
Baltimore, MD 21213-3939
(443) 923-1872
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameDr Danielle Marie Ploetz
GenderFemale
SpecialityClinical Neuropsychologist
Location2931 E Biddle St, Baltimore, Maryland
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1669660999
  • Provider Enumeration Date: 10/11/2007
  • Last Update Date: 09/24/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 3971942558
  • Enrollment ID: I20240416000348

Medical Identifiers

Medical identifiers for Dr Danielle Marie Ploetz such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669660999NPI-NPPES
00018214MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health (* (Not Available))Secondary
103G00000XClinical Neuropsychologist 05595 (Maryland)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. Dr Danielle Marie Ploetz allows following entities to bill medicare on her behalf.
Entity NameKennedy Krieger Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871515783
PECOS PAC ID: 1759280597
Enrollment ID: O20031231000300

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. Dr Danielle Marie Ploetz 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
Dr Danielle Marie Ploetz, PHD
707 N Broadway,
Baltimore, MD 21205-1832

Ph: (443) 923-1872		Dr Danielle Marie Ploetz, PHD
2931 E Biddle St,
Baltimore, MD 21213-3939

Ph: (443) 923-1872

Reviews and Comments


Clinical Neuropsychologist in Baltimore, MD


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.