Ms Melissa Marie Walt, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Medina, Ohio. She graduated from healthcare school in 2016 and has 8 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Cleveland Clinic Foundation and her current practice location is
323 S Court St, Medina, Ohio. You can reach out to her office (for appointments etc.) via phone at
(330) 331-5800.
Ms Melissa Marie Walt is licensed to practice in Ohio (license number P.07896) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1619442944.
Healthcare Provider's Profile
| Full Name | Ms Melissa Marie Walt |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 8 Years |
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| Location | 323 S Court St, Medina, Ohio |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ms Melissa Marie Walt graduated from medical school in 2016
NPI Data:
- NPI Number: 1619442944
- Provider Enumeration Date: 10/13/2018
- Last Update Date: 06/24/2019
Medicare PECOS Information:
- PECOS PAC ID: 5991036576
- Enrollment ID: I20191011002471
Medical Identifiers
Medical identifiers for Ms Melissa Marie Walt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1619442944 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | C.1801520 (Ohio) | Secondary |
| 103TC0700X | Psychologist - Clinical | P.07896 (Ohio) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Cleveland Clinic Foundation | 1850203555 | 5680 |
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 Melissa Marie Walt allows following entities to bill medicare on her behalf.
| Entity Name | The Cleveland Clinic Foundation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1679525919
PECOS PAC ID: 1850203555
Enrollment ID: O20031103000049 |
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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 Melissa Marie Walt 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 Melissa Marie Walt, PSYD
1192 Gold Crest Dr,
Medina, OH 44256-4106
Ph: (330) 635-3801 | Ms Melissa Marie Walt, PSYD
323 S Court St,
Medina, OH 44256-3715
Ph: (330) 331-5800 |
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