Dr Marlo Ellis Walters, PSYD in Lexington, KY - Medicare Psychologist Provider

Dr Marlo Ellis Walters, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Lexington, Kentucky. Her current practice location is 2837 Satin Leaf Park, Lexington, Kentucky. You can reach out to her office (for appointments etc.) via phone at (850) 377-4752.

Dr Marlo Ellis Walters is licensed to practice in Indiana (license number 200141871A) 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 1952013856.

Contact Information

	Dr Marlo Ellis Walters, PSYD
	2837 Satin Leaf Park, Lexington, KY 40511-8962
	(850) 377-4752
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Marlo Ellis Walters
Gender	Female
Speciality	Psychologist - Clinical
Location	2837 Satin Leaf Park, Lexington, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1952013856
Provider Enumeration Date: 12/22/2022
Last Update Date: 12/22/2022

Medicare PECOS Information:

PECOS PAC ID: 4688045586
Enrollment ID: I20230131001936

Medical Identifiers

Medical identifiers for Dr Marlo Ellis Walters such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952013856	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	200141871A (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 Marlo Ellis Walters allows following entities to bill medicare on her behalf.

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220510002320

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 Marlo Ellis Walters 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 Marlo Ellis Walters, PSYD 2837 Satin Leaf Park, Lexington, KY 40511-8962 Ph: (850) 377-4752	Dr Marlo Ellis Walters, PSYD 2837 Satin Leaf Park, Lexington, KY 40511-8962 Ph: (850) 377-4752

Reviews and Comments

Psychologist in Lexington, KY

Mark A Etscheidt, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 740 S Limestone, Lexington, KY 40536 Phone: 859-323-5956
Mr. James M Moughan, CPSYAF Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1351 Newtown Pike, Lexington, KY 40511 Phone: 859-253-1686 Fax: 859-254-2743
Mary Beth Morgan, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1000 Monarch St, #250, Lexington, KY 40513 Phone: 859-296-3141 Fax: 859-296-3144
Dr. Stephanie T. Judge, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 2220 Young Dr, Lexington, KY 40505 Phone: 859-277-1008 Fax: 859-277-1083
Steven Joseph Mangine, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 261 Regency Cir, Suite 3, Lexington, KY 40503 Phone: 859-277-2844
Amanda L Crabtree, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1351 Newtown Pike, Lexington, KY 40511 Phone: 859-253-1686
Mrs. Kari Hall Jones, PSY. D. Psychologist Medicare: Medicare Enrolled Practice Location: 1030 Monarch St, Ste 100, Lexington, KY 40513 Phone: 859-296-3141 Fax: 859-554-5200

Dr Marlo Ellis Walters, PSYD - Medicare Psychologist in Lexington, KY