Dr Anne Katherine Conley-goldstein, PHD, HSPP in Avon, IN

Dr Anne Katherine Conley-goldstein, PHD, HSPP is a medicare enrolled "Psychologist - Clinical" provider in Avon, Indiana. Her current practice location is 6655 E Us Highway 36, Avon, Indiana. You can reach out to her office (for appointments etc.) via phone at (317) 272-3330.

Dr Anne Katherine Conley-goldstein is licensed to practice in Indiana (license number 20042060A) 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 1043282098.

Contact Information

	Dr Anne Katherine Conley-goldstein, PHD, HSPP
	6655 E Us Highway 36, Avon, IN 46123-8923
	(317) 272-3330
	(317) 272-0807

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Anne Katherine Conley-goldstein
Gender	Female
Speciality	Psychologist - Clinical
Location	6655 E Us Highway 36, Avon, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043282098
Provider Enumeration Date: 02/03/2006
Last Update Date: 09/08/2017

Medicare PECOS Information:

PECOS PAC ID: 7315947637
Enrollment ID: I20140414001856

Medical Identifiers

Medical identifiers for Dr Anne Katherine Conley-goldstein such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043282098	NPI	-	NPPES
200813210	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC2200X	Psychologist - Clinical Child & Adolescent	20042060A (Indiana)	Secondary
103TC0700X	Psychologist - Clinical	20042060A (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. Dr Anne Katherine Conley-goldstein allows following entities to bill medicare on her behalf.

Entity Name	Midwest Behavioral Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427362201 PECOS PAC ID: 4587834874 Enrollment ID: O20110824000118

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 Anne Katherine Conley-goldstein 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 Anne Katherine Conley-goldstein, PHD, HSPP 6655 E Us Highway 36, Avon, IN 46123-8923 Ph: (317) 272-3330	Dr Anne Katherine Conley-goldstein, PHD, HSPP 6655 E Us Highway 36, Avon, IN 46123-8923 Ph: (317) 272-3330

Reviews and Comments

Psychologist in Avon, IN

Doris Odell Ryan, PH.D., HSPP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6655 Us 36 East, Cummins Behavioral Health Services, Avon, IN 46123 Phone: 317-272-3330 Fax: 317-272-0807
Dr. Ashleigh Charlene Kappos Woods, PSYD, HSPP Psychologist Medicare: Medicare Enrolled Practice Location: 6655 E Us Highway 36, Avon, IN 46123 Phone: 888-714-1927 Fax: 317-272-0807
Dr. Corinne Young, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 6655 E Us Highway 36, Avon, IN 46123 Phone: 888-714-1927
Poonam Ishanpara, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 6845 E Us Highway 36 Ste 500, Avon, IN 46123 Phone: 813-289-6597 Fax: 813-289-6592
Mr. Zachary James Toothman, M.S.E. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7575 E County Road 150 S, Avon, IN 46123 Phone: 317-544-5162
Dr. Mary Wollitz Dooley, PHD HSPP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7125 E Us Hwy 36, Avon, IN 46123 Phone: 317-272-2190 Fax: 317-272-2199

Dr Anne Katherine Conley-goldstein, PHD, HSPP - Medicare Psychologist in Avon, IN