Dr Thomas Ray Theriault, PSYD in Towson, MD - Medicare Clinical Psychologist Provider

Dr Thomas Ray Theriault, PSYD is a medicare enrolled "Psychologist" provider in Towson, Maryland. He graduated from medical school in 2013 and has 12 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Lucid Psychiatric Practice Llc and his current practice location is 222 Courthouse Ct, 2d, Towson, Maryland. You can reach out to his office (for appointments etc.) via phone at (443) 692-7362.

Dr Thomas Ray Theriault is licensed to practice in Maryland (license number 05432) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1942613997.

Contact Information

	Dr Thomas Ray Theriault, PSYD
	222 Courthouse Ct, 2d, Towson, MD 21204-1828
	(443) 692-7362
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Thomas Ray Theriault
Gender	Male
Speciality	Clinical Psychologist
Experience	12 Years
Location	222 Courthouse Ct, Towson, Maryland
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Thomas Ray Theriault graduated from medical school in 2013

NPI Data:

NPI Number: 1942613997
Provider Enumeration Date: 06/07/2014
Last Update Date: 06/07/2014

Medicare PECOS Information:

PECOS PAC ID: 5799904900
Enrollment ID: I20140922001048

Medical Identifiers

Medical identifiers for Dr Thomas Ray Theriault such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942613997	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	05432 (Maryland)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lucid Psychiatric Practice Llc	5092087445	7

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 Thomas Ray Theriault allows following entities to bill medicare on his behalf.

Entity Name	Lucid Psychiatric Practice Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235660457 PECOS PAC ID: 5092087445 Enrollment ID: O20170818001897

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 Thomas Ray Theriault 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 Thomas Ray Theriault, PSYD 3328 Garrison Cir, Abingdon, MD 21009-2546 Ph: (443) 504-5631	Dr Thomas Ray Theriault, PSYD 222 Courthouse Ct, 2d, Towson, MD 21204-1828 Ph: (443) 692-7362

Reviews and Comments

Psychologist in Towson, MD

Dr. Diane Carla Pomerantz, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 660 Kenilworth Dr Ste 101, Towson, MD 21204 Phone: 410-653-9079 Fax: 410-887-5384
Dr. Sara Ann Mix, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6501 N Charles St, Towson, MD 21204 Phone: 443-881-2028 Fax: 410-833-4102
Dr. Virginia Tai Runko, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6535 N Charles St, Suite 550, Towson, MD 21204 Phone: 410-494-1662
Dr. Kenneth B. Morgen, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 28 Allegheny Ave Ste 1304, Towson, MD 21204 Phone: 443-326-5861 Fax: 410-628-8900
Dr. Ruth Stine, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1107 Kenilworth Dr, Suite 208, Towson, MD 21204 Phone: 443-536-2395 Fax: 410-878-7433
Mr. Kenneth David Zeigler, MSW LCSWC Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8600 Lasalle Road, The Chester Building Suite 325, Towson, MD 21286 Phone: 410-321-6035 Fax: 410-321-6176
Scarlett Karen Jett, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 901 Dulaney Valley Rd, Suite 129, Towson, MD 21204 Phone: 410-832-2729 Fax: 410-832-5783

Dr Thomas Ray Theriault, PSYD - Medicare Psychologist in Towson, MD