Dr Jim L Dalton, PSYD, HSPP in Indianapolis, IN - Medicare Psychologist Provider

Dr Jim L Dalton, PSYD, HSPP is a medicare enrolled "Psychologist - Clinical" provider in Indianapolis, Indiana. His current practice location is 6067 Decatur Blvd, Indianapolis, Indiana. You can reach out to his office (for appointments etc.) via phone at (317) 281-4545.

Dr Jim L Dalton is licensed to practice in Indiana (license number 20041365A) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1912046004.

Contact Information

	Dr Jim L Dalton, PSYD, HSPP
	6067 Decatur Blvd, Indianapolis, IN 46241-9606
	(317) 281-4545
	(317) 856-2333

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jim L Dalton
Gender	Male
Speciality	Psychologist - Clinical
Location	6067 Decatur Blvd, Indianapolis, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912046004
Provider Enumeration Date: 02/05/2007
Last Update Date: 12/11/2017

Medicare PECOS Information:

PECOS PAC ID: 3870575921
Enrollment ID: I20040607000574

Medical Identifiers

Medical identifiers for Dr Jim L Dalton such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912046004	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	20041365A (Indiana)	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 Jim L Dalton allows following entities to bill medicare on his behalf.

Entity Name	Damar Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427154814 PECOS PAC ID: 9931180460 Enrollment ID: O20040528000970

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 Jim L Dalton 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 Jim L Dalton, PSYD, HSPP 6067 Decatur Blvd, Indianapolis, IN 46241-9606 Ph: (317) 281-4545	Dr Jim L Dalton, PSYD, HSPP 6067 Decatur Blvd, Indianapolis, IN 46241-9606 Ph: (317) 281-4545

Reviews and Comments

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Brigid R Marriott, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 1002 Wishard Blvd Ste 4110, Indianapolis, IN 46202 Phone: 317-944-8162 Fax: 317-948-0609
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Dr Jim L Dalton, PSYD, HSPP - Medicare Psychologist in Indianapolis, IN