Dr Ann Louise Date, PSYD in Midland, MI - Medicare Psychologist Provider

Dr Ann Louise Date, PSYD is a medicare enrolled "Psychologist" provider in Midland, Michigan. Her current practice location is 720 W Wackerly St, Suite 4, Midland, Michigan. You can reach out to her office (for appointments etc.) via phone at (989) 832-2165.

Dr Ann Louise Date is licensed to practice in Michigan (license number 6301009535) 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 1174746820.

Contact Information

	Dr Ann Louise Date, PSYD
	720 W Wackerly St, Suite 4, Midland, MI 48640-2769
	(989) 832-2165
	(989) 839-4376

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Ann Louise Date
Gender	Female
Speciality	Psychologist
Location	720 W Wackerly St, Midland, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174746820
Provider Enumeration Date: 04/11/2007
Last Update Date: 03/16/2021

Medicare PECOS Information:

PECOS PAC ID: 5597838607
Enrollment ID: I20080723000398

Medical Identifiers

Medical identifiers for Dr Ann Louise Date such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174746820	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	6301009535 (Michigan)	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 Ann Louise Date allows following entities to bill medicare on her behalf.

Entity Name	Partners In Change: Psychological & Community Services, Plc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093984817 PECOS PAC ID: 7719050814 Enrollment ID: O20080723000347

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 Ann Louise Date 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 Ann Louise Date, PSYD Po Box 2875, Midland, MI 48641-2875 Ph: (989) 832-2165	Dr Ann Louise Date, PSYD 720 W Wackerly St, Suite 4, Midland, MI 48640-2769 Ph: (989) 832-2165

Reviews and Comments

Psychologist in Midland, MI

Miss Molly M. Clore, MS Psychologist Medicare: Not Enrolled in Medicare Practice Location: 720 W. Wackerly, Suite 11, Midland, MI 48640 Phone: 989-832-2165 Fax: 989-839-4376
Marissa Lynn O'neill, TLLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 218 Fast Ice Dr, Midland, MI 48642 Phone: 989-631-2320
Heidi Lynn Wale, MS Psychologist Medicare: Not Enrolled in Medicare Practice Location: 720 W Wackerly St, Suite 4, Midland, MI 48640 Phone: 989-832-2165 Fax: 989-839-4376
Dr. Katherine Mary Dollard, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2603 W Wackerly St, Midland, MI 48640 Phone: 989-631-2320 Fax: 989-631-9903
Mrs. Nicole Lynn Minnis, MA, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 218 Fast Ice Dr, Midland, MI 48642 Phone: 989-631-2320 Fax: 989-631-9214
Mrs. Debra Kay Riedinger, M.A., LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1108 Ashman St, Midland, MI 48640 Phone: 989-832-9161 Fax: 989-832-8813
Dr. Karen Stanley-kime, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 720 W Wackerly St Ste 11, Midland, MI 48640 Phone: 989-832-2165 Fax: 989-839-4376

Dr Ann Louise Date, PSYD - Medicare Psychologist in Midland, MI