Dr Michelle Yetman, PHD in Shreveport, LA - Medicare Psychologist Provider

Dr Michelle Yetman, PHD is a medicare enrolled "Psychologist - Clinical" provider in Shreveport, Louisiana. Her current practice location is 1450 Claiborne Ave, Lsuhsc-allied Health Clinics, Shreveport, Louisiana. You can reach out to her office (for appointments etc.) via phone at (318) 813-2970.

Dr Michelle Yetman is licensed to practice in Louisiana (license number 908) 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 1306962279.

Contact Information

	Dr Michelle Yetman, PHD
	1450 Claiborne Ave, Lsuhsc-allied Health Clinics, Shreveport, LA 71103-4204
	(318) 813-2970
	(318) 813-2981

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Michelle Yetman
Gender	Female
Speciality	Psychologist - Clinical
Location	1450 Claiborne Ave, Shreveport, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306962279
Provider Enumeration Date: 03/22/2007
Last Update Date: 11/27/2016

Medicare PECOS Information:

PECOS PAC ID: 6507760923
Enrollment ID: I20031126000143

Medical Identifiers

Medical identifiers for Dr Michelle Yetman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306962279	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	908 (Louisiana)	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 Michelle Yetman allows following entities to bill medicare on her behalf.

Entity Name	Louisiana State University Health Sciences Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144265976 PECOS PAC ID: 6103730908 Enrollment ID: O20151214001377

Entity Name	Lsu Health Sciences Center Shreveport Faculty Group Practice
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013374222 PECOS PAC ID: 4082902721 Enrollment ID: O20161012000307

Entity Name	Lsuhsc-s School Of Allied Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740904291 PECOS PAC ID: 2860869526 Enrollment ID: O20221109001624

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 Michelle Yetman 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 Michelle Yetman, PHD 1501 Kings Hwy, Lsuhsc-allied Health Clinics, Shreveport, LA 71103-4228 Ph: (318) 813-2970	Dr Michelle Yetman, PHD 1450 Claiborne Ave, Lsuhsc-allied Health Clinics, Shreveport, LA 71103-4204 Ph: (318) 813-2970

Reviews and Comments

Psychologist in Shreveport, LA

Jeanne Street, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 610 Herndon Ave, Shreveport, LA 71101 Phone: 318-424-3867 Fax: 318-424-5006
Dr. Bruce K Mccormick, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3341 Youree Dr Ste 20a, Shreveport, LA 71105 Phone: 318-865-7500 Fax: 318-868-2035
Dr. Roquel A Williams, PHD, MD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 566 E 71st St, Shreveport, LA 71106 Phone: 318-865-2888 Fax: 318-865-2814
Mr. Arthur Merriam Ruggles, MS Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2620 Centenary Blvd., Bldg.3,, Ste. 304 Meece & Associates, L.l.c., Shreveport, LA 71104 Phone: 318-226-1555 Fax: 318-226-0406
Dr. Robert Herbert Jordan, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 510 E Stoner Ave, Overton Brooks Va Medical Center--116b, Shreveport, LA 71101 Phone: 318-424-6051
Dr. Richard Lewis Price, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 864 Olive St, Shreveport, LA 71104 Phone: 318-670-8440
Jennifer Russell, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 3341 Youree Dr Ste 20a, Shreveport, LA 71105 Phone: 318-425-2000 Fax: 318-424-2601

Dr Michelle Yetman, PHD - Medicare Psychologist in Shreveport, LA