Mrs Maryellen Dabal, LMFT in Southlake, TX - Medicare Marriage & Family Therapist Provider

Mrs Maryellen Dabal, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Southlake, Texas. Her current practice location is 305 Miron Dr, Southlake, Texas. You can reach out to her office (for appointments etc.) via phone at (817) 876-9958.

Mrs Maryellen Dabal is licensed to practice in Texas (license number 201342) 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 1013232032.

Contact Information

	Mrs Maryellen Dabal, LMFT
	305 Miron Dr, Southlake, TX 76092-7831
	(817) 876-9958
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Maryellen Dabal
Gender	Female
Speciality	Marriage & Family Therapist
Location	305 Miron Dr, Southlake, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013232032
Provider Enumeration Date: 04/01/2010
Last Update Date: 10/11/2014

Medicare PECOS Information:

PECOS PAC ID: 0547603581
Enrollment ID: I20240207001535

Medical Identifiers

Medical identifiers for Mrs Maryellen Dabal such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013232032	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	201342 (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. Mrs Maryellen Dabal allows following entities to bill medicare on her behalf.

Entity Name	Doctor On Demand Professionals P C
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174931448 PECOS PAC ID: 9436464567 Enrollment ID: O20230911004112

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. Mrs Maryellen Dabal 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
Mrs Maryellen Dabal, LMFT 305 Miron Dr, Southlake, TX 76092-7831 Ph: (817) 876-9958	Mrs Maryellen Dabal, LMFT 305 Miron Dr, Southlake, TX 76092-7831 Ph: (817) 876-9958

Reviews and Comments

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Mrs Maryellen Dabal, LMFT - Medicare Couples Therapy in Southlake, TX