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

Dr Marla J Souder, PSYD, HSPP is a medicare enrolled "Psychologist - Clinical" provider in Bloomington, Indiana. Her current practice location is 450 S Landmark Ave, Bloomington, Indiana. You can reach out to her office (for appointments etc.) via phone at (812) 269-3214.

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
	450 S Landmark Ave, Bloomington, IN 47403-5000
	(812) 269-3214
	(317) 520-8200

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Marla J Souder
Gender	Female
Speciality	Psychologist - Clinical
Location	450 S Landmark Ave, Bloomington, 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: 01/31/2025

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 2599 County Road 72, Auburn, IN 46706-2271 Ph: (260) 615-9971	Dr Marla J Souder, PSYD, HSPP 450 S Landmark Ave, Bloomington, IN 47403-5000 Ph: (812) 269-3214

Reviews and Comments

Psychologist in Bloomington, IN

Dr. Jennifer Michael Spencer, PHD HSPP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 631 N College Ave, Bloomington, IN 47404 Phone: 812-333-8474
Dr. Carolyn Louise Lee, PH.D., ABPP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 600 N Jordan Ave, Bloomington, IN 47405 Phone: 812-855-5711
Dr. Jack E. Thomas, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2108 S Locust Ct, Bloomington, IN 47401 Phone: 812-325-6877
Michele Koselke, PSYD, HSPP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 205 N College Ave Ste 312, Bloomington, IN 47404 Phone: 317-941-3258 Fax: 317-534-3677
Dr. Kodee Walls, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 600 N Eagleson Ave, Bloomington, IN 47405 Phone: 812-855-5711
Nickolaus H Gastil, PSYCH Psychologist Medicare: Medicare Enrolled Practice Location: 645 S Rogers St, Bloomington, IN 47403 Phone: 812-314-3400 Fax: 812-337-2438
Sydney F Anderson, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 637 N College Ave, Bloomington, IN 47404 Phone: 812-331-2800

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