Dr Julie L Delettre, PSYD is a medicare enrolled "Clinical Neuropsychologist" provider in Melbourne, Florida. Her current practice location is
1223 Gateway Dr Ste 2g, Melbourne, Florida. You can reach out to her office (for appointments etc.) via phone at
(321) 725-4500.
Dr Julie L Delettre is licensed to practice in Florida (license number PY8586) 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 1588913735.
Healthcare Provider's Profile
| Full Name | Dr Julie L Delettre |
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| Gender | Female |
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| Speciality | Clinical Neuropsychologist |
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| Location | 1223 Gateway Dr Ste 2g, Melbourne, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1588913735
- Provider Enumeration Date: 09/04/2012
- Last Update Date: 05/01/2018
Medicare PECOS Information:
- PECOS PAC ID: 9830340868
- Enrollment ID: I20121121000245
Medical Identifiers
Medical identifiers for Dr Julie L Delettre such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588913735 | NPI | - | NPPES |
| GT228X | Other | FL | MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | PY8586 (Florida) | Secondary |
| 103G00000X | Clinical Neuropsychologist | PY8586 (Florida) | 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 Julie L Delettre allows following entities to bill medicare on her behalf.
| Entity Name | Balanced Wellbeing Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1336513639
PECOS PAC ID: 5193021848
Enrollment ID: O20160307002587 |
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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 Julie L Delettre 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 Julie L Delettre, PSYD
3300 S Fiske Blvd,
Rockledge, FL 32955-4306
Ph: (321) 725-4500 | Dr Julie L Delettre, PSYD
1223 Gateway Dr Ste 2g,
Melbourne, FL 32901-2607
Ph: (321) 725-4500 |
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