Dr Mary Anne Etheridge, PHD in Cary, NC - Medicare Psychologist Provider

Dr Mary Anne Etheridge, PHD is a medicare enrolled "Psychologist - Clinical" provider in Cary, North Carolina. Her current practice location is 115 Kildaire Park Dr Ste 313, Cary, North Carolina. You can reach out to her office (for appointments etc.) via phone at (919) 600-4906.

Dr Mary Anne Etheridge is licensed to practice in North Carolina (license number 3686) 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 1437294212.

Contact Information

	Dr Mary Anne Etheridge, PHD
	115 Kildaire Park Dr Ste 313, Cary, NC 27518-8144
	(919) 600-4906
	(888) 887-6361

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Mary Anne Etheridge
Gender	Female
Speciality	Psychologist - Clinical
Location	115 Kildaire Park Dr Ste 313, Cary, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1437294212
Provider Enumeration Date: 02/20/2007
Last Update Date: 06/24/2024

Medicare PECOS Information:

PECOS PAC ID: 8527214725
Enrollment ID: I20120803000080

Medical Identifiers

Medical identifiers for Dr Mary Anne Etheridge such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1437294212	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	3686 (North Carolina)	Secondary
103TC0700X	Psychologist - Clinical	3686 (North Carolina)	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 Mary Anne Etheridge allows following entities to bill medicare on her behalf.

Entity Name	Etheridge Psychology Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275820144 PECOS PAC ID: 0446406649 Enrollment ID: O20120803000032

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 Mary Anne Etheridge 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 Mary Anne Etheridge, PHD 115 Kildaire Park Dr Ste 313, Cary, NC 27518-8144 Ph: (919) 600-4906	Dr Mary Anne Etheridge, PHD 115 Kildaire Park Dr Ste 313, Cary, NC 27518-8144 Ph: (919) 600-4906

Reviews and Comments

Psychologist in Cary, NC

Dr. Judy L. O'leary-sargeant, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1135 Kildare Farm Rd, Suite 200-7, Cary, NC 27511 Phone: 919-415-4716 Fax: 585-586-8603
Lari Meeker Jackson, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 832 Laurel Garden Way, Cary, NC 27513 Phone: 984-214-8762 Fax: 984-220-9379
Dawn Kennedy, MA, LPA, HSP-PA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 103-d Fountain Brook Circle, Cary, NC 27511 Phone: 919-622-1303
Dr. Aureen P. Wagner, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2000 Regency Pkwy Ste 204, Cary, NC 27518 Phone: 919-371-8230 Fax: 919-469-8639
Dr. Patti M Zordich, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1125 Kildaire Farm Rd, Suite 202, Cary, NC 27511 Phone: 919-380-1000 Fax: 919-380-1000
Pamela Hartsfield, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1135 Kildaire Farm Rd, Suite 200, Cary, NC 27511 Phone: 919-415-2355
Jaclyn Starritt, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 300 Ashville Ave, Suite 240, Cary, NC 27518 Phone: 919-415-1793

Dr Mary Anne Etheridge, PHD - Medicare Psychologist in Cary, NC