Dr Melissa Ann Lidderdale, PHD in Grand Rapids, MI - Medicare Clinical Psychologist Provider

Dr Melissa Ann Lidderdale, PHD is a medicare enrolled "Psychologist - Clinical" provider in Grand Rapids, Michigan. She graduated from medical school in 2009 and has 15 years of diverse experience with area of expertise as Clinical Psychologist. Her current practice location is 1345 Monroe Ave Nw Ste 252, Grand Rapids, Michigan. You can reach out to her office (for appointments etc.) via phone at (616) 426-9193.

Dr Melissa Ann Lidderdale is licensed to practice in Michigan (license number 6301014348) 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 1225158306.

Contact Information

	Dr Melissa Ann Lidderdale, PHD
	1345 Monroe Ave Nw Ste 252, Grand Rapids, MI 49505-4612
	(616) 426-9193
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Melissa Ann Lidderdale
Gender	Female
Speciality	Clinical Psychologist
Experience	15 Years
Location	1345 Monroe Ave Nw Ste 252, Grand Rapids, Michigan
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 Melissa Ann Lidderdale graduated from medical school in 2009

NPI Data:

NPI Number: 1225158306
Provider Enumeration Date: 03/30/2007
Last Update Date: 05/30/2024

Medicare PECOS Information:

PECOS PAC ID: 4789835398
Enrollment ID: I20121107000743

Medical Identifiers

Medical identifiers for Dr Melissa Ann Lidderdale such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225158306	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	6301014348 (Michigan)	Primary
103T00000X	Psychologist	6301014348 (Michigan)	Secondary
103TC1900X	Psychologist - Counseling	6301014348 (Michigan)	Secondary

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 Melissa Ann Lidderdale allows following entities to bill medicare on her behalf.

Entity Name	River City Psychological Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235557844 PECOS PAC ID: 2769606979 Enrollment ID: O20140610000120

Entity Name	Lidderdale Consulting Plc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568080687 PECOS PAC ID: 4688094493 Enrollment ID: O20201016000930

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 Melissa Ann Lidderdale 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 Melissa Ann Lidderdale, PHD 57 Courtland St Unit 794, Rockford, MI 49341-1455 Ph: (616) 426-9193	Dr Melissa Ann Lidderdale, PHD 1345 Monroe Ave Nw Ste 252, Grand Rapids, MI 49505-4612 Ph: (616) 426-9193

Reviews and Comments

Psychologist in Grand Rapids, MI

Dynetta Clark, MA, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 805 Leonard St Ne, Grand Rapids, MI 49503 Phone: 616-451-2021 Fax: 616-774-1001
Mrs. Amy E Pugh, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 35 Michigan St Ne Ste 5201, Grand Rapids, MI 49503 Phone: 616-267-2830 Fax: 616-267-9024
Meghan Cytacki-lewis, MA, TLLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 333 Bridge St Nw Ste 1120, Grand Rapids, MI 49504 Phone: 616-805-3660
Michelle Marie Muenzenmeyer, LLP, CHMC Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2020 Raybrook St Se Ste 102-1, Grand Rapids, MI 49546 Phone: 616-795-0900 Fax: 616-795-0899
Jehricole Olenzuk, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 829 Forest Hill Ave Se, Grand Rapids, MI 49546 Phone: 616-949-2410
Adrian Hernandez, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 360 E Beltline Ave Ne Ste 100, Grand Rapids, MI 49506 Phone: 616-805-3660
Marcia Hollingsworth, EDD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1870 Leonard Ne, Grand Rapids, MI 49505 Phone: 616-956-1122 Fax: 616-956-8033

Dr Melissa Ann Lidderdale, PHD - Medicare Psychologist in Grand Rapids, MI