Ms Mackenzie Sue Sommerhalder, PHD is a medicare enrolled "Psychologist" provider in Baltimore, Maryland. Her current practice location is
1800 Orleans St, Baltimore, Maryland. You can reach out to her office (for appointments etc.) via phone at
(410) 614-2401.
Ms Mackenzie Sue Sommerhalder is licensed to practice in Maryland (license number 06284) 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 1740735489.
Healthcare Provider's Profile
Full Name | Ms Mackenzie Sue Sommerhalder |
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Gender | Female |
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Speciality | Psychologist |
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Location | 1800 Orleans St, Baltimore, Maryland |
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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: 1740735489
- Provider Enumeration Date: 08/23/2016
- Last Update Date: 05/25/2022
Medicare PECOS Information:
- PECOS PAC ID: 6709264203
- Enrollment ID: I20220610001559
Medical Identifiers
Medical identifiers for Ms Mackenzie Sue Sommerhalder such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1740735489 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 10705 (Nebraska) | Secondary |
103T00000X | Psychologist | 06284 (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. Ms Mackenzie Sue Sommerhalder allows following entities to bill medicare on her behalf.
Entity Name | Johns Hopkins University |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1922008549 PECOS PAC ID: 8921903147 Enrollment ID: O20031215000719 |
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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. Ms Mackenzie Sue Sommerhalder 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 |
Ms Mackenzie Sue Sommerhalder, PHD 6201 Greenleigh Ave, Middle River, MD 21220-2004 Ph: (410) 933-6423 | Ms Mackenzie Sue Sommerhalder, PHD 1800 Orleans St, Baltimore, MD 21287-0010 Ph: (410) 614-2401 |
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