Dr Madelon Bohdal, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Stroudsburg, Pennsylvania. Her current practice location is
134 Broad St, Stroudsburg, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(570) 445-0047.
Dr Madelon Bohdal is licensed to practice in Pennsylvania (license number PS019873) 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 1497363238.
Healthcare Provider's Profile
| Full Name | Dr Madelon Bohdal |
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| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 134 Broad St, Stroudsburg, Pennsylvania |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1497363238
- Provider Enumeration Date: 07/17/2020
- Last Update Date: 11/03/2023
Medicare PECOS Information:
- PECOS PAC ID: 4789027707
- Enrollment ID: I20240207001199
Medical Identifiers
Medical identifiers for Dr Madelon Bohdal such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1497363238 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | PS019873 (Pennsylvania) | 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 Madelon Bohdal allows following entities to bill medicare on her behalf.
| Entity Name | Insight Mental Health Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1467232884
PECOS PAC ID: 8325481344
Enrollment ID: O20240207000869 |
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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 Madelon Bohdal 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 |
|---|
Dr Madelon Bohdal, PSYD
Po Box 829,
Pocono Lake, PA 18347-0829
Ph: (570) 994-4062 | Dr Madelon Bohdal, PSYD
134 Broad St,
Stroudsburg, PA 18360-1590
Ph: (570) 445-0047 |
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