Dr Alicia Luscomb Autry, PHD in Germantown, TN - Medicare Psychologist Provider

Dr Alicia Luscomb Autry, PHD is a medicare enrolled "Psychologist" provider in Germantown, Tennessee. Her current practice location is 7516 Enterprise Ave, Suite 1, Germantown, Tennessee. You can reach out to her office (for appointments etc.) via phone at (901) 755-5802.

Dr Alicia Luscomb Autry is licensed to practice in Tennessee (license number PROVISIONAL 3440) 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 1528519576.

Contact Information

	Dr Alicia Luscomb Autry, PHD
	7516 Enterprise Ave, Suite 1, Germantown, TN 38138-3802
	(901) 755-5802
	(901) 757-2249

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Alicia Luscomb Autry
Gender	Female
Speciality	Psychologist
Location	7516 Enterprise Ave, Germantown, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1528519576
Provider Enumeration Date: 10/14/2016
Last Update Date: 10/14/2016

Medicare PECOS Information:

PECOS PAC ID: 7810247871
Enrollment ID: I20180912002446

Medical Identifiers

Medical identifiers for Dr Alicia Luscomb Autry such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528519576	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	PROVISIONAL 3440 (Tennessee)	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. Dr Alicia Luscomb Autry allows following entities to bill medicare on her behalf.

Entity Name	Germantown Psychological Associates Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497718639 PECOS PAC ID: 3779537667 Enrollment ID: O20050303000263

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. Dr Alicia Luscomb Autry 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
Dr Alicia Luscomb Autry, PHD 7516 Enterprise Ave, Suite 1, Germantown, TN 38138-3802 Ph: (901) 755-5802	Dr Alicia Luscomb Autry, PHD 7516 Enterprise Ave, Suite 1, Germantown, TN 38138-3802 Ph: (901) 755-5802

Reviews and Comments

Psychologist in Germantown, TN

Dr. William Rayburn Gentry Jr., PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1922 Exeter Rd, Suite 7, Germantown, TN 38138 Phone: 901-754-9688 Fax: 901-754-8630
Dr. Jean Wheat Guy, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7516 Enterprise, Ste 1, Germantown, TN 38138 Phone: 901-755-5802 Fax: 901-757-2249
Dr. Roy David Greenberg, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7516 Enterprise, Ste 1, Germantown, TN 38138 Phone: 901-755-5802 Fax: 901-757-2249
Dr. J. Jolene Mcclenaghan Bailey, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2022 Exeter Rd, Suite 1, Germantown, TN 38138 Phone: 901-218-1835 Fax: 901-755-6152
Dr. Tucker D Johnson, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2014 Exeter Rd, Germantown, TN 38138 Phone: 901-624-4600 Fax: 901-757-1485
Mr. Paul Ronald Nahmias, SR. PSYCH. EXAMINER Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8236 Pine Valley Ln, Germantown, TN 38139 Phone: 901-848-0693
Dudley B Pillow Iii, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2176 West St, Suite 200a, Germantown, TN 38138 Phone: 901-756-5730

Dr Alicia Luscomb Autry, PHD - Medicare Psychologist in Germantown, TN