Dr Shelly Ludolph, PSYD in Lihue, HI - Medicare Clinical Psychologist Provider

Dr Shelly Ludolph, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Lihue, Hawaii. 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 3-3122 Kuhio Hwy Ste A15, Lihue, Hawaii. You can reach out to her office (for appointments etc.) via phone at (808) 246-9102.

Dr Shelly Ludolph is licensed to practice in Hawaii (license number 1828) 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 1346784147.

Contact Information

	Dr Shelly Ludolph, PSYD
	3-3122 Kuhio Hwy Ste A15, Lihue, HI 96766-1157
	(808) 246-9102
	(808) 246-8609

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Shelly Ludolph
Gender	Female
Speciality	Clinical Psychologist
Experience	15 Years
Location	3-3122 Kuhio Hwy Ste A15, Lihue, Hawaii
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 Shelly Ludolph graduated from medical school in 2009

NPI Data:

NPI Number: 1346784147
Provider Enumeration Date: 12/13/2016
Last Update Date: 01/22/2020

Medicare PECOS Information:

PECOS PAC ID: 0042640153
Enrollment ID: I20200413003053

Medical Identifiers

Medical identifiers for Dr Shelly Ludolph such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346784147	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	1828 (Hawaii)	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 Shelly Ludolph allows following entities to bill medicare on her behalf.

Entity Name	Lighthouse Therapy & Diagnostic Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710511100 PECOS PAC ID: 9133559248 Enrollment ID: O20200413002896

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 Shelly Ludolph 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 Shelly Ludolph, PSYD 5108 Kuhina Pl, Princeville, HI 96722-5116 Ph: (808) 652-0466	Dr Shelly Ludolph, PSYD 3-3122 Kuhio Hwy Ste A15, Lihue, HI 96766-1157 Ph: (808) 246-9102

Reviews and Comments

Psychologist in Lihue, HI

Dr. Alexander Jay Bivens, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2905 Mokoi St, Lihue, HI 96766 Phone: 808-332-7190
Ms. Mary Ann Hill, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2970 Kele St, #201, Lihue, HI 96766 Phone: 808-245-7225 Fax: 866-797-1194
Dr. Puanani J Hee, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3059 Umi St Rm A-014, Lihue, HI 96766 Phone: 808-274-3883 Fax: 808-274-3889
Dr. Amithea Love, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 3-3420 Kuhio Hwy Ste B, Lihue, HI 96766 Phone: 808-245-1504
Tanya E Gamby, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 3175 Elua St, Ste C, Lihue, HI 96766 Phone: 808-821-2027 Fax: 808-821-2028
Dr. Marie Louise Terry-bivens, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2905 Mokoi St, Lihue, HI 96766 Phone: 808-332-7190

Dr Shelly Ludolph, PSYD - Medicare Psychologist in Lihue, HI