Dr Erin Sullivan-baca, PHD in Plano, TX - Medicare Clinical Psychologist Provider

Dr Erin Sullivan-baca, PHD is a medicare enrolled "Psychologist" provider in Plano, Texas. She graduated from medical school in 2019 and has 5 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Neurocognitive Specialty Group Pllc and her current practice location is 2301 Ohio Dr Ste 130, Plano, Texas. You can reach out to her office (for appointments etc.) via phone at (214) 228-5180.

Dr Erin Sullivan-baca is licensed to practice in Texas (license number 38638) 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 1174103758.

Contact Information

	Dr Erin Sullivan-baca, PHD
	2301 Ohio Dr Ste 130, Plano, TX 75093-3997
	(214) 228-5180
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Erin Sullivan-baca
Gender	Female
Speciality	Clinical Psychologist
Experience	5 Years
Location	2301 Ohio Dr Ste 130, Plano, Texas
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Erin Sullivan-baca graduated from medical school in 2019

NPI Data:

NPI Number: 1174103758
Provider Enumeration Date: 04/08/2021
Last Update Date: 04/08/2021

Medicare PECOS Information:

PECOS PAC ID: 2062816663
Enrollment ID: I20210804001069

Medical Identifiers

Medical identifiers for Dr Erin Sullivan-baca such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174103758	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	38638 (Texas)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Neurocognitive Specialty Group Pllc	9133451297	6

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 Erin Sullivan-baca allows following entities to bill medicare on her behalf.

Entity Name	Dr Associates Of North Texas
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790050375 PECOS PAC ID: 1759531916 Enrollment ID: O20121024000264

Entity Name	Neurocognitive Specialty Group Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346700275 PECOS PAC ID: 9133451297 Enrollment ID: O20191023001459

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 Erin Sullivan-baca 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 Erin Sullivan-baca, PHD 7157 Nicole Pl, Dallas, TX 75252-6100 Ph: () -	Dr Erin Sullivan-baca, PHD 2301 Ohio Dr Ste 130, Plano, TX 75093-3997 Ph: (214) 228-5180

Reviews and Comments

Psychologist in Plano, TX

Leslee Marcom, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5120 Legacy Dr, Plano, TX 75024 Phone: 972-476-0814
Therese Hudgins Ogle, LPA, LSSP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1541 Faringdon Dr, Plano, TX 75075 Phone: 214-808-3150
Gabrielle Anderson, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3465 National Dr Ste 215, Plano, TX 75025 Phone: 469-665-9445
Dr. John Manuel Pita, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 900 Hedgcoxe Rd, Plano, TX 75025 Phone: 972-765-2643 Fax: 214-698-4497
Dr. Casey Lee Ferri, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6860 Dallas Pkwy Ste 575, Plano, TX 75024 Phone: 214-363-2345
Dr. Donna R Milburn, PH.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2000 N Central Expy, Suite 110, Plano, TX 75074 Phone: 972-509-2611 Fax: 972-578-5742
Jessica Faber, M.A., LPA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1255 W 15th St Ste 320, Plano, TX 75075 Phone: 972-519-1692

Dr Erin Sullivan-baca, PHD - Medicare Psychologist in Plano, TX