Marnie Richard, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Dallas, Texas. Her current practice location is
539 W Commerce St Ste 4779, Dallas, Texas. You can reach out to her office (for appointments etc.) via phone at
(808) 451-9075.
Marnie Richard is licensed to practice in Texas (license number 38224) 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 1851765473.
Healthcare Provider's Profile
Full Name | Marnie Richard |
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Gender | Female |
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Speciality | Psychologist - Clinical |
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Location | 539 W Commerce St Ste 4779, Dallas, 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: 1851765473
- Provider Enumeration Date: 11/19/2015
- Last Update Date: 12/15/2023
Medicare PECOS Information:
- PECOS PAC ID: 0143552851
- Enrollment ID: I20191030001372
Medical Identifiers
Medical identifiers for Marnie Richard such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1851765473 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
103TC0700X | Psychologist - Clinical | 38224 (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. Marnie Richard allows following entities to bill medicare on her behalf.
Entity Name | Stonebridge Behavioral Health, P.a. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1861528390 PECOS PAC ID: 3274563929 Enrollment ID: O20050812000876 |
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Entity Name | Progressive Behavioral Health, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1659567238 PECOS PAC ID: 4486794906 Enrollment ID: O20091214000763 |
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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. Marnie Richard 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 |
Marnie Richard, PSYD Po Box 235041, Honolulu, HI 96823-3500 Ph: () - | Marnie Richard, PSYD 539 W Commerce St Ste 4779, Dallas, TX 75208-1953 Ph: (808) 451-9075 |
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