Dr Maryla Izabella Madura, PHD in Dothan, AL - Medicare Clinical Psychologist Provider

Dr Maryla Izabella Madura, PHD is a medicare enrolled "Psychologist - Clinical" provider in Dothan, Alabama. She graduated from medical school in 2006 and has 18 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Refresh Canopy Cove, Inc and her current practice location is 1841 Honeysuckle Rd, Dothan, Alabama. You can reach out to her office (for appointments etc.) via phone at (334) 794-2113.

Dr Maryla Izabella Madura is licensed to practice in Alabama (license number 1422) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1841340809.

Contact Information

	Dr Maryla Izabella Madura, PHD
	1841 Honeysuckle Rd, Dothan, AL 36305-4269
	(334) 794-2113
	(334) 702-1220

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Maryla Izabella Madura
Gender	Female
Speciality	Clinical Psychologist
Experience	18 Years
Location	1841 Honeysuckle Rd, Dothan, Alabama
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Maryla Izabella Madura graduated from medical school in 2006

NPI Data:

NPI Number: 1841340809
Provider Enumeration Date: 01/11/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 9133287451
Enrollment ID: I20081015000230

Medical Identifiers

Medical identifiers for Dr Maryla Izabella Madura such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841340809	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	1422 (Alabama)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Refresh Canopy Cove, Inc	3779822119	97

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 Maryla Izabella Madura allows following entities to bill medicare on her behalf.

Entity Name	Refresh Canopy Cove, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730661752 PECOS PAC ID: 3779822119 Enrollment ID: O20190304000354

Entity Name	Optum Behavioral Care Of North Carolina, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033984448 PECOS PAC ID: 5092120030 Enrollment ID: O20240401000110

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 Maryla Izabella Madura 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 Maryla Izabella Madura, PHD 1841 Honeysuckle Rd, Dothan, AL 36305-4269 Ph: (334) 794-2113	Dr Maryla Izabella Madura, PHD 1841 Honeysuckle Rd, Dothan, AL 36305-4269 Ph: (334) 794-2113

Reviews and Comments

Psychologist in Dothan, AL

Dr. Lesley Cathryn Marsal, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 126 Clinic Dr, Dothan, AL 36303 Phone: 334-793-1881 Fax: 334-340-5918
Dr. Megan E Manierski, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 212 W Troy St Ste B, Dothan, AL 36303 Phone: 334-758-6603
Dr. Melanie K Cotter, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 100 Westside Drive, Dothan, AL 36303 Phone: 334-793-2237
Dr. Rena Curvey, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 212 W Troy St Ste B, Dothan, AL 36303 Phone: 334-758-6603
Dr. David Carl Ghostley, PSY, D Psychologist Medicare: Accepting Medicare Assignments Practice Location: 202 N Bell St, Dothan, AL 36303 Phone: 334-699-1620 Fax: 334-699-1649
Dr. Robert Samuel Kline, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1841 Honeysuckle Rd, Dothan, AL 36305 Phone: 334-794-2113 Fax: 334-702-1220
Jenny Quevedo, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 408 Healthwest Dr, Dothan, AL 36303 Phone: 334-702-7222 Fax: 334-446-4224

Dr Maryla Izabella Madura, PHD - Medicare Psychologist in Dothan, AL