Dr Wendy Ludecke Selevitch, MA, PHD is a medicare enrolled "Psychologist - Clinical" provider in Arcadia, California. Her current practice location is
41 E Foothill Blvd, Suite 102, Arcadia, California. You can reach out to her office (for appointments etc.) via phone at
(626) 701-4249.
Dr Wendy Ludecke Selevitch is licensed to practice in California (license number PSY 22818) 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 1629123617.
Healthcare Provider's Profile
Full Name | Dr Wendy Ludecke Selevitch |
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Gender | Female |
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Speciality | Psychologist - Clinical |
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Location | 41 E Foothill Blvd, Arcadia, California |
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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: 1629123617
- Provider Enumeration Date: 01/23/2007
- Last Update Date: 10/29/2016
Medicare PECOS Information:
- PECOS PAC ID: 3779897624
- Enrollment ID: I20150805008354
Medical Identifiers
Medical identifiers for Dr Wendy Ludecke Selevitch such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629123617 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | MFC 38430 (California) | Secondary |
103TC0700X | Psychologist - Clinical | PSY 22818 (California) | 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 Wendy Ludecke Selevitch allows following entities to bill medicare on her behalf.
Entity Name | Soultenders Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1164617007 PECOS PAC ID: 6507170453 Enrollment ID: O20150917001766 |
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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 Wendy Ludecke Selevitch 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 Wendy Ludecke Selevitch, MA, PHD 41 E Foothill Blvd, Suite 102, Arcadia, CA 91006-2361 Ph: (626) 701-4249 | Dr Wendy Ludecke Selevitch, MA, PHD 41 E Foothill Blvd, Suite 102, Arcadia, CA 91006-2361 Ph: (626) 701-4249 |
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