Alvina Mary Marris, PHD is a medicare enrolled "Psychologist" provider in Grand Coulee, Washington. Her current practice location is
411 Fortuyn Rd, Grand Coulee, Washington. You can reach out to her office (for appointments etc.) via phone at
(509) 633-1911.
Alvina Mary Marris is licensed to practice in Washington (license number PY60462191) 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 1780967380.
Healthcare Provider's Profile
Full Name | Alvina Mary Marris |
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Gender | Female |
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Speciality | Psychologist |
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Location | 411 Fortuyn Rd, Grand Coulee, Washington |
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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: 1780967380
- Provider Enumeration Date: 09/21/2011
- Last Update Date: 06/09/2022
Medicare PECOS Information:
- PECOS PAC ID: 5092194688
- Enrollment ID: I20220628003928
Medical Identifiers
Medical identifiers for Alvina Mary Marris such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1780967380 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | PY60462191 (Washington) | 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. Alvina Mary Marris allows following entities to bill medicare on her behalf.
Entity Name | Douglas, Grant, Lincoln & Okanogan Counties Public Hospital District 6 |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1265422935 PECOS PAC ID: 9335050285 Enrollment ID: O20040311000181 |
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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. Alvina Mary Marris 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 |
Alvina Mary Marris, PHD 411 Fortuyn Rd, Grand Coulee, WA 99133-8718 Ph: (509) 633-1911 | Alvina Mary Marris, PHD 411 Fortuyn Rd, Grand Coulee, WA 99133-8718 Ph: (509) 633-1911 |
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