Brett Alicia Enneking, PSYD in Indianapolis, IN - Medicare Psychologist Provider

Brett Alicia Enneking, PSYD is a medicare enrolled "Psychologist - Clinical Child & Adolescent" provider in Indianapolis, Indiana. Her current practice location is 705 Riley Hospital Dr, Indianapolis, Indiana. You can reach out to her office (for appointments etc.) via phone at (317) 944-8167.

Brett Alicia Enneking is licensed to practice in Indiana (license number 20043128A) 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 1538654371.

Contact Information

	Brett Alicia Enneking, PSYD
	705 Riley Hospital Dr, Indianapolis, IN 46202-5109
	(317) 944-8167
	(317) 944-9760

Map and Direction

Healthcare Provider's Profile

Full Name	Brett Alicia Enneking
Gender	Female
Speciality	Psychologist - Clinical Child & Adolescent
Location	705 Riley Hospital Dr, Indianapolis, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1538654371
Provider Enumeration Date: 06/25/2018
Last Update Date: 01/26/2021

Medicare PECOS Information:

PECOS PAC ID: 5193139426
Enrollment ID: I20210128001264

Medical Identifiers

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

Identifier	Type	State	Issuer
1538654371	NPI	-	NPPES
300015970	Other	IN	MEDICAID

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC2200X	Psychologist - Clinical Child & Adolescent	20043128A (Indiana)	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. Brett Alicia Enneking allows following entities to bill medicare on her behalf.

Entity Name	University Pediatric Associates, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457396541 PECOS PAC ID: 2163326794 Enrollment ID: O20031125000021

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. Brett Alicia Enneking 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
Brett Alicia Enneking, PSYD Po Box 1026, Indianapolis, IN 46206-1026 Ph: (317) 777-6435	Brett Alicia Enneking, PSYD 705 Riley Hospital Dr, Indianapolis, IN 46202-5109 Ph: (317) 944-8167

Reviews and Comments

Psychologist in Indianapolis, IN

Dr. Jennifer Holzman, PSYD, HSPP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 70 E 91st St Ste 210, Indianapolis, IN 46240 Phone: 317-573-0149
Dr. Sarah A Landsberger, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 355 W 16th St, Indianapolis, IN 46202 Phone: 317-963-7300 Fax: 317-963-7325
Dr. William D. Alexy, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6110 N. Meridian, W.dr, Indianapolis, IN 46208 Phone: 317-255-3729 Fax: 317-255-3729
Dr. Yelena Chernyak, PH.D., HSPP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 550 University Blvd, Room Uh 3240, Indianapolis, IN 46202 Phone: 317-944-7422 Fax: 317-944-1497
Tami S Krichiver, PSYD, HSPP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2011 N Meridian St, Indianapolis, IN 46202 Phone: 317-924-7010 Fax: 317-941-2208
Brigid R Marriott, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 1002 Wishard Blvd Ste 4110, Indianapolis, IN 46202 Phone: 317-944-8162 Fax: 317-948-0609
Dr. Lisa B Brown, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6284 Rucker Rd, Suite N, Indianapolis, IN 46220 Phone: 317-475-1389 Fax: 317-475-9089

Brett Alicia Enneking, PSYD - Medicare Psychologist in Indianapolis, IN