Connally Barry, PSYD in Maitland, FL - Medicare Psychologist Provider

Connally Barry, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Maitland, Florida. Her current practice location is 2646 Ultra Vista Dr, Maitland, Florida. You can reach out to her office (for appointments etc.) via phone at (407) 402-8905.

Connally Barry is licensed to practice in Florida (license number 11791) 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 1700586138.

Contact Information

	Connally Barry, PSYD
	2646 Ultra Vista Dr, Maitland, FL 32751-5179
	(407) 402-8905
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Connally Barry
Gender	Female
Speciality	Psychologist - Clinical
Location	2646 Ultra Vista Dr, Maitland, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700586138
Provider Enumeration Date: 03/06/2023
Last Update Date: 10/26/2023

Medicare PECOS Information:

PECOS PAC ID: 9931573623
Enrollment ID: I20230320002605

Medical Identifiers

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

Identifier	Type	State	Issuer
1700586138	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	11791 (Florida)	Secondary
103TC0700X	Psychologist - Clinical	11791 (Florida)	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. Connally Barry allows following entities to bill medicare on her behalf.

Entity Name	Thriveworks Clinical - Florida Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396360996 PECOS PAC ID: 5496173577 Enrollment ID: O20200922002675

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20210414000053

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. Connally Barry 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
Connally Barry, PSYD 2646 Ultra Vista Dr, Maitland, FL 32751-5179 Ph: () -	Connally Barry, PSYD 2646 Ultra Vista Dr, Maitland, FL 32751-5179 Ph: (407) 402-8905

Reviews and Comments

Psychologist in Maitland, FL

Ambar Medina, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 414 Lake Howell Rd, Maitland, FL 32751 Phone: 407-637-2633
Dr. Kristin Patrice Girardot, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 500 N Maitland Ave, Suite 110, Maitland, FL 32751 Phone: 407-808-7852
Dr. Jennifer Tickal, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 1555 N Maitland Ave, Maitland, FL 32751 Phone: 813-563-5676
Eduardo Ysern, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 331 N Maitland Ave Ste C3, Maitland, FL 32751 Phone: 407-634-3515
Elizabeth Carges, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 500 N Maitland Ave, Suite 110, Maitland, FL 32751 Phone: 407-628-5354 Fax: 407-628-0254
Louis Appiah-kubi, PSY.D Psychologist Medicare: Medicare Enrolled Practice Location: 341 N Maitland Ave Ste 340, Maitland, FL 32751 Phone: 407-219-3281
Patricia Labrot, M,ED., NCSP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 237 Lookout Pl Ste 150, Maitland, FL 32751 Phone: 407-462-1323

Connally Barry, PSYD - Medicare Psychologist in Maitland, FL