Dr Brenda Carol Parker, PHD is a medicare enrolled "Clinical Neuropsychologist" provider in Pioneer Village, Kentucky. Her current practice location is
815 John Harper Rd Unit 13, Pioneer Village, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(502) 504-5231.
Dr Brenda Carol Parker is licensed to practice in Kentucky (license number 129682) 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 1871899062.
Healthcare Provider's Profile
| Full Name | Dr Brenda Carol Parker |
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| Gender | Female |
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| Speciality | Clinical Neuropsychologist |
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| Location | 815 John Harper Rd Unit 13, Pioneer Village, Kentucky |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1871899062
- Provider Enumeration Date: 02/04/2011
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 0547554818
- Enrollment ID: I20160809001921
Medical Identifiers
Medical identifiers for Dr Brenda Carol Parker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1871899062 | NPI | - | NPPES |
| 7100315910 | Medicaid | KY | |
| 50109798 | Other | | PASSPORT GROUP ID |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | 129682 (Kentucky) | Secondary |
| 103G00000X | Clinical Neuropsychologist | 129682 (Kentucky) | Primary |
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 Brenda Carol Parker 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 Brenda Carol Parker, PHD
815 John Harper Highway, Ste 13,
Pioneer Village, KY 40165-7463
Ph: (502) 504-5231 | Dr Brenda Carol Parker, PHD
815 John Harper Rd Unit 13,
Pioneer Village, KY 40165-7463
Ph: (502) 504-5231 |
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