Dr Eboni Tiana Butler, PSYD - Medicare Psychologist in Fresno, TX

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Dr Eboni Tiana Butler, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Fresno, Texas. Her current practice location is 4031 Forest Teal Ct, Fresno, Texas. You can reach out to her office (for appointments etc.) via phone at (281) 431-5323.

Dr Eboni Tiana Butler is licensed to practice in Texas (license number 34589) 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 1972733723.

Contact Information

Dr Eboni Tiana Butler, PSYD
4031 Forest Teal Ct,
Fresno, TX 77545-8648
(281) 431-5323
(281) 431-5324

Map and Direction




Healthcare Provider's Profile

Full NameDr Eboni Tiana Butler
GenderFemale
SpecialityPsychologist - Clinical
Location4031 Forest Teal Ct, Fresno, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1972733723
  • Provider Enumeration Date: 07/15/2009
  • Last Update Date: 06/12/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7618148479
  • Enrollment ID: I20110927000825

Medical Identifiers

Medical identifiers for Dr Eboni Tiana Butler such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1972733723NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 34589 (Texas)Primary
101YP2500XCounselor - Professional 62492 (Texas)Secondary

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 Eboni Tiana Butler allows following entities to bill medicare on her behalf.
Entity NameButler Psychological Group Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740549823
PECOS PAC ID: 6002079092
Enrollment ID: O20120601000260
Entity NameAmazing Healthcare Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821354358
PECOS PAC ID: 4385867225
Enrollment ID: O20140522001504
Entity NameWellspring Family & Community Institute Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902243256
PECOS PAC ID: 5991948895
Enrollment ID: O20160617001037

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 Eboni Tiana Butler 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 AddressPractice Location Address
Dr Eboni Tiana Butler, PSYD
4031 Forest Teal Ct,
Fresno, TX 77545-8648

Ph: (281) 431-5323		Dr Eboni Tiana Butler, PSYD
4031 Forest Teal Ct,
Fresno, TX 77545-8648

Ph: (281) 431-5323

Reviews and Comments


Psychologist in Fresno, TX

Mrs. Shanteria Anntionette Smith,
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 4507 Hardwood Glen Dr, Fresno, TX 77545
Phone: 979-943-0026    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.