Dr Marla J Souder, PSYD, HSPP in Fort Wayne, IN - Medicare Psychologist Provider

Dr Marla J Souder, PSYD, HSPP is a medicare enrolled "Psychologist - Clinical" provider in Fort Wayne, Indiana. Her current practice location is 11141 Parkview Plaza Dr Ste 210, Fort Wayne, Indiana. You can reach out to her office (for appointments etc.) via phone at (260) 266-5400.

Dr Marla J Souder is licensed to practice in Indiana (license number 20042225A) 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 1548420474.

Contact Information

	Dr Marla J Souder, PSYD, HSPP
	11141 Parkview Plaza Dr Ste 210, Fort Wayne, IN 46845-1714
	(260) 266-5400
	(260) 266-5409

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Marla J Souder
Gender	Female
Speciality	Psychologist - Clinical
Location	11141 Parkview Plaza Dr Ste 210, Fort Wayne, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548420474
Provider Enumeration Date: 06/13/2008
Last Update Date: 03/02/2023

Medicare PECOS Information:

PECOS PAC ID: 4789018631
Enrollment ID: I20191231000189

Medical Identifiers

Medical identifiers for Dr Marla J Souder such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548420474	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC2200X	Psychologist - Clinical Child & Adolescent	20042225A (Indiana)	Secondary
103TC0700X	Psychologist - Clinical	20042225A (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 Marla J Souder allows following entities to bill medicare on her behalf.

Entity Name	Parkview Health System Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932130952 PECOS PAC ID: 2163336967 Enrollment ID: O20031117000288

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 Marla J Souder 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 Marla J Souder, PSYD, HSPP 11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701 Ph: () -	Dr Marla J Souder, PSYD, HSPP 11141 Parkview Plaza Dr Ste 210, Fort Wayne, IN 46845-1714 Ph: (260) 266-5400

Reviews and Comments

Psychologist in Fort Wayne, IN

Ms. Shauna Marie Croarkin, ED.S., NCSP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1200 Barr St, Fort Wayne, IN 46802 Phone: 260-467-1124 Fax: 260-467-1188
Amanda L Mayle, PSY.D., HSPP Psychologist Medicare: Medicare Enrolled Practice Location: 11141 Parkview Plaza Dr Ste 210, Fort Wayne, IN 46845 Phone: 260-266-5400 Fax: 260-266-5409
Dr. Michelle Renne Miller, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4630 W Jefferson Blvd, Ste 11a, Fort Wayne, IN 46804 Phone: 260-434-1606 Fax: 260-434-1612
Dr. Victor L Rebman, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1910 Saint Joe Center Rd, Office #63, Fort Wayne, IN 46825 Phone: 260-471-9902 Fax: 260-471-9902
Michele Lynn Grimm, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1200 S Clinton St, Fort Wayne, IN 46802 Phone: 260-467-1150 Fax: 260-467-1188
Jason T. Cook, PSY.D., HSPP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 7230 Engle Rd, Ste 304, Fort Wayne, IN 46804 Phone: 260-483-2400 Fax: 260-960-9361
Dr. Galen Arthur Yordy, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2805 Fairfield Ave, Fort Wayne, IN 46807 Phone: 260-456-4880 Fax: 260-456-3559

Dr Marla J Souder, PSYD, HSPP - Medicare Psychologist in Fort Wayne, IN