<unavail> in Bellevue, WA - Medicare Clinical Neuropsychologist

is a medicare enrolled mental health clinic (Clinical Neuropsychologist) in Bellevue, Washington. The current practice location for is 1808 Richards Rd #120, Bellevue, Washington. For appointments, you can reach them via phone at (425) 502-8341. The mailing address for is 1808 Richards Rd #120, Bellevue, Washington and phone number is (425) 502-8341.

is licensed to practice in Washington (license number PY00002466). The clinic also participates in the medicare program and its NPI number is 1508289299. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (425) 502-8341.

Contact Information


	1808 Richards Rd #120 Bellevue WA 98005-3982
	(425) 502-8341
	(425) 502-8731

Map and Direction

Mental Health Clinic Profile

Full Name
Speciality	Clinical Neuropsychologist
Location	1808 Richards Rd #120, Bellevue, Washington
Authorized Official Name and Position	Jo A. Asbury (CREDENTIALING ASSISTANT)
Authorized Official Contact	4259033783
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
1808 Richards Rd #120 Bellevue WA 98005-3982 Ph: (425) 502-8341	1808 Richards Rd #120 Bellevue WA 98005-3982 Ph: (425) 502-8341

NPI Details:

NPI Number	1508289299
Provider Enumeration Date	01/30/2014
Last Update Date	11/15/2018

Medicare PECOS Information:

Medicare PECOS PAC ID	0143528968
Medicare Enrollment ID	O20160412001564

Medical Identifiers

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

Identifier	Type	State	Issuer
1508289299	NPI	-	NPPES
8382822	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103G00000X	Clinical Neuropsychologist	PY00002466 (Washington)	Primary
103G00000X	Clinical Neuropsychologist	(* (Not Available))	Secondary
103TC0700X	Psychologist - Clinical	PY00002466 (Washington)	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:

Provider Name	Martha L Glisky
Provider Type	Practitioner - Clinical Psychologist
Provider Identifiers	NPI Number: 1992872139 PECOS PAC ID: 4385721877 Enrollment ID: I20080408000641

Reviews and Comments

Clinical Neuropsychologist in Bellevue, WA

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- Medicare Mental Health Clinic in Bellevue, WA