Marion Marold Vickerman, MS, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Beaumont, Texas. Her current practice location is
4749 Odom Rd, Beaumont, Texas. You can reach out to her office (for appointments etc.) via phone at
(409) 200-2220.
Marion Marold Vickerman is licensed to practice in Texas (license number 202574) 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 1760827794.
Healthcare Provider's Profile
Full Name | Marion Marold Vickerman |
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Gender | Female |
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Speciality | Marriage & Family Therapist |
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Location | 4749 Odom Rd, Beaumont, Texas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1760827794
- Provider Enumeration Date: 05/03/2013
- Last Update Date: 11/14/2023
Medicare PECOS Information:
- PECOS PAC ID: 8123470929
- Enrollment ID: I20240117002816
Medical Identifiers
Medical identifiers for Marion Marold Vickerman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1760827794 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | CO 613 (Colorado) | Secondary |
106H00000X | Marriage & Family Therapist | 202574 (Texas) | 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. Marion Marold Vickerman allows following entities to bill medicare on her behalf.
Entity Name | Newpath Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1992126254 PECOS PAC ID: 8820315138 Enrollment ID: O20150326000209 |
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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. Marion Marold Vickerman 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 |
Marion Marold Vickerman, MS, LMFT 105 Canyon Lake Cir, Lumberton, TX 77657-3701 Ph: (409) 200-2220 | Marion Marold Vickerman, MS, LMFT 4749 Odom Rd, Beaumont, TX 77706-7080 Ph: (409) 200-2220 |
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