Dr Diane Marilee Gard, PHD is a medicare enrolled "Psychologist - Clinical" provider in Gun Barrel City, Texas. She graduated from medical school in 1995 and has 29 years of diverse experience with area of expertise as Clinical Psychologist. Her current practice location is
122 S Gun Barrel Ln, Suite 6, Gun Barrel City, Texas. You can reach out to her office (for appointments etc.) via phone at
(903) 887-0697.
Dr Diane Marilee Gard is licensed to practice in Texas (license number 33829) 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 1831264274.
Healthcare Provider's Profile
| Full Name | Dr Diane Marilee Gard |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 29 Years |
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| Location | 122 S Gun Barrel Ln, Gun Barrel City, Texas |
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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 Diane Marilee Gard graduated from medical school in 1995
NPI Data:
- NPI Number: 1831264274
- Provider Enumeration Date: 11/21/2006
- Last Update Date: 02/22/2012
Medicare PECOS Information:
- PECOS PAC ID: 2264428911
- Enrollment ID: I20100219000323
Medical Identifiers
Medical identifiers for Dr Diane Marilee Gard such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1831264274 | NPI | - | NPPES |
| 614301 | Other | TX | MEDICARE B |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103T00000X | Psychologist | 2264 (Colorado) | Secondary |
| 103TC0700X | Psychologist - Clinical | 33829 (Texas) | 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 Diane Marilee Gard allows following entities to bill medicare on her behalf.
| Entity Name | East Texas Neurobehavioral Health,pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1114285970
PECOS PAC ID: 9830351147
Enrollment ID: O20120503000151 |
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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 Diane Marilee Gard 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 Diane Marilee Gard, PHD
Po Box 2107,
Mabank, TX 75147-5017
Ph: (903) 368-2299 | Dr Diane Marilee Gard, PHD
122 S Gun Barrel Ln, Suite 6,
Gun Barrel City, TX 75156-9403
Ph: (903) 887-0697 |
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