Dr Ephi J Betan, PHD in Atlanta, GA - Medicare Psychologist Provider

Dr Ephi J Betan, PHD is a medicare enrolled "Psychologist" provider in Atlanta, Georgia. Her current practice location is 2200 Century Pkwy Ne Ste 200, Atlanta, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 422-5203.

Dr Ephi J Betan is licensed to practice in Georgia (license number PSY002608) 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 1114483534.

Contact Information

	Dr Ephi J Betan, PHD
	2200 Century Pkwy Ne Ste 200, Atlanta, GA 30345-3103
	(404) 422-5203
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Ephi J Betan
Gender	Female
Speciality	Psychologist
Location	2200 Century Pkwy Ne Ste 200, Atlanta, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114483534
Provider Enumeration Date: 02/11/2019
Last Update Date: 06/23/2022

Medicare PECOS Information:

PECOS PAC ID: 0244566248
Enrollment ID: I20190730000510

Medical Identifiers

Medical identifiers for Dr Ephi J Betan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114483534	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	PSY002608 (Georgia)	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 Ephi J Betan allows following entities to bill medicare on her behalf.

Entity Name	Lifesource Of North Carolina
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962940817 PECOS PAC ID: 7416132428 Enrollment ID: O20170418000863

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 Ephi J Betan 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 Ephi J Betan, PHD 2200 Century Pkwy Ne Ste 200, Atlanta, GA 30345-3103 Ph: (404) 422-5203	Dr Ephi J Betan, PHD 2200 Century Pkwy Ne Ste 200, Atlanta, GA 30345-3103 Ph: (404) 422-5203

Reviews and Comments

Psychologist in Atlanta, GA

Dr. Ralph Norman Allsopp, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5590 Long Island Dr Nw, Atlanta, GA 30327 Phone: 404-909-2398 Fax: 404-256-9121
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Dr. Carole A. A. Kant, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1340 Fernwood Circle, Atlanta, GA 30319 Phone: 404-240-0243
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Dr. Sigrid Y Elston, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2941 Piedmont Rd Ne, Suite F, Atlanta, GA 30305 Phone: 404-869-9474 Fax: 404-869-6421
Jennifer Stapel-wax, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 1920 Briarcliff Rd Ne, Atlanta, GA 30329 Phone: 404-785-9400 Fax: 404-785-9068
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Dr Ephi J Betan, PHD - Medicare Psychologist in Atlanta, GA