Dr Danielle L Dively, PSY D is a medicare enrolled "Psychologist - Clinical" provider in Roaring Spring, Pennsylvania. She graduated from medical school in 2006 and has 18 years of diverse experience with area of expertise as Clinical Psychologist. Her current practice location is
7564 Woodbury Pike, Roaring Spring, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(814) 729-7316.
Dr Danielle L Dively is licensed to practice in Pennsylvania (license number PS016634) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1013155027.
Healthcare Provider's Profile
| Full Name | Dr Danielle L Dively |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 18 Years |
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| Location | 7564 Woodbury Pike, Roaring Spring, Pennsylvania |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Danielle L Dively graduated from medical school in 2006
NPI Data:
- NPI Number: 1013155027
- Provider Enumeration Date: 01/29/2009
- Last Update Date: 10/23/2024
Medicare PECOS Information:
- PECOS PAC ID: 3971640202
- Enrollment ID: I20091020000019
Medical Identifiers
Medical identifiers for Dr Danielle L Dively such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1013155027 | NPI | - | NPPES |
| 1023128880002 | Medicaid | PA | |
| 1023128880003 | Medicaid | PA | |
| 002106964 | Other | PA | HIGHMARK BLUE CROSS BLUE SHIELD |
| 000000285381 | Other | PA | UNISON |
| 102312888 | Medicaid | PA | |
| 164856RGD | Other | PA | MEDICARE |
| 1023128880004 | Medicaid | PA | |
| 1007708200003 | Medicaid | PA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | PS016634 (Pennsylvania) | Secondary |
| 103TC0700X | Psychologist - Clinical | PS016634PA (Pennsylvania) | Secondary |
| 103TC0700X | Psychologist - Clinical | PS016634 (Pennsylvania) | 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 Danielle L Dively allows following entities to bill medicare on her behalf.
| Entity Name | Alternative Community Resource Program, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1942398839
PECOS PAC ID: 0244277234
Enrollment ID: O20050412000197 |
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| Entity Name | Truecare Wellness Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1952964413
PECOS PAC ID: 1850621673
Enrollment ID: O20190920002682 |
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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 Danielle L Dively 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 |
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Dr Danielle L Dively, PSY D
7564 Woodbury Pike (po Box 155),
Roaring Spring, PA 16673
Ph: (814) 729-7316 | Dr Danielle L Dively, PSY D
7564 Woodbury Pike,
Roaring Spring, PA 16673
Ph: (814) 729-7316 |
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