Dr Ralph Henry Louis Jr, PHD is a medicare enrolled "Psychologist - Clinical" provider in Basin, Wyoming. His current practice location is
116 South 3rd Street, Basin, Wyoming. You can reach out to his office (for appointments etc.) via phone at
(307) 568-2020.
Dr Ralph Henry Louis Jr is licensed to practice in Wyoming (license number 234) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1225256027.
Healthcare Provider's Profile
| Full Name | Dr Ralph Henry Louis Jr |
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| Gender | Male |
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| Speciality | Psychologist - Clinical |
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| Location | 116 South 3rd Street, Basin, Wyoming |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1225256027
- Provider Enumeration Date: 04/24/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 3779926985
- Enrollment ID: I20240205002674
Medical Identifiers
Medical identifiers for Dr Ralph Henry Louis Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1225256027 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC0700X | Psychologist - Clinical | 234 (Wyoming) | 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 Ralph Henry Louis Jr allows following entities to bill medicare on his behalf.
| Entity Name | Cloud Peak Counseling Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1861577140
PECOS PAC ID: 3476659699
Enrollment ID: O20160725001670 |
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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 Ralph Henry Louis Jr 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 Ralph Henry Louis Jr, PHD
3305 Road 27,
Greybull, WY 82426-9750
Ph: (307) 654-2209 | Dr Ralph Henry Louis Jr, PHD
116 South 3rd Street,
Basin, WY 82410
Ph: (307) 568-2020 |
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