Dr Louise Anne Weller, PHD in Plymouth, MI - Medicare Psychologist Provider

Dr Louise Anne Weller, PHD is a medicare enrolled "Psychologist - Clinical" provider in Plymouth, Michigan. Her current practice location is 340 N Main St Ste 200, Plymouth, Michigan. You can reach out to her office (for appointments etc.) via phone at (734) 335-0028.

Dr Louise Anne Weller is licensed to practice in Michigan (license number 6301016196) 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 1396786349.

Contact Information

	Dr Louise Anne Weller, PHD
	340 N Main St Ste 200, Plymouth, MI 48170-1250
	(734) 335-0028
	(734) 335-3931

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Louise Anne Weller
Gender	Female
Speciality	Psychologist - Clinical
Location	340 N Main St Ste 200, Plymouth, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396786349
Provider Enumeration Date: 06/09/2006
Last Update Date: 12/06/2023

Medicare PECOS Information:

PECOS PAC ID: 9638460249
Enrollment ID: I20160628002380

Medical Identifiers

Medical identifiers for Dr Louise Anne Weller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396786349	NPI	-	NPPES
6301016196	Other	MI	LICENSE TO PRACTICE AS PSYCHOLOGIST
016136	Other	NY	PSYCHOLOGIST STATE LICENS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	016136-1 (New York)	Secondary
103TC0700X	Psychologist - Clinical	6301016196 (Michigan)	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 Louise Anne Weller allows following entities to bill medicare on her behalf.

Entity Name	Thrive Counseling Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215181300 PECOS PAC ID: 0749458420 Enrollment ID: O20190930001163

Entity Name	Simply Mindful Counseling Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851900302 PECOS PAC ID: 6800282963 Enrollment ID: O20220330000870

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 Louise Anne Weller 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 Louise Anne Weller, PHD 340 N Main St Ste 200, Plymouth, MI 48170-1250 Ph: (734) 335-0028	Dr Louise Anne Weller, PHD 340 N Main St Ste 200, Plymouth, MI 48170-1250 Ph: (734) 335-0028

Reviews and Comments

Psychologist in Plymouth, MI

Ms. Lyneah R Blake-duncan, TLLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 229 N Sheldon Rd, Plymouth, MI 48170 Phone: 313-278-4601
Jason Lewis, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 496 W Ann Arbor Trl, Plymouth, MI 48170 Phone: 248-930-0090
Kristin Nicole Hnatio, MA, TLLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1308 S Main St, Plymouth, MI 48170 Phone: 734-451-3440 Fax: 734-451-8720
Ms. Lynn A Lombardo, MA, LLP Psychologist Medicare: Medicare Enrolled Practice Location: 215 Ann Arbor Rd W Ste 206, Plymouth, MI 48170 Phone: 248-561-6208 Fax: 248-398-4451
Dr. Karen A Perez, PSYD, PHD, LLP, LPC Psychologist Medicare: Accepting Medicare Assignments Practice Location: 705 S Main St Ste 101i, Plymouth, MI 48170 Phone: 734-748-5796 Fax: 734-468-0109
Mrs. Jennifer Ranee Lauria, PSYSP, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1308 S Main St, Plymouth, MI 48170 Phone: 734-451-3440 Fax: 734-451-8720
Robin Keller, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 705 S Main St Ste 280, Plymouth, MI 48170 Phone: 734-454-1094

Dr Louise Anne Weller, PHD - Medicare Psychologist in Plymouth, MI