Edwin Wallace Basham Jr, EDD in Amarillo, TX - Medicare Psychologist Provider

Edwin Wallace Basham Jr, EDD is a medicare enrolled "Psychologist" provider in Amarillo, Texas. His current practice location is 3505 Olsen Blvd, Suite 224, Amarillo, Texas. You can reach out to his office (for appointments etc.) via phone at (806) 354-0411.

Edwin Wallace Basham Jr is licensed to practice in Texas (license number 22625) 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 1962537035.

Contact Information

	Edwin Wallace Basham Jr, EDD
	3505 Olsen Blvd, Suite 224, Amarillo, TX 79109-3042
	(806) 354-0411
	(806) 354-0466

Map and Direction

Healthcare Provider's Profile

Full Name	Edwin Wallace Basham Jr
Gender	Male
Speciality	Psychologist
Location	3505 Olsen Blvd, Amarillo, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962537035
Provider Enumeration Date: 02/22/2007
Last Update Date: 07/09/2007

Medicare PECOS Information:

PECOS PAC ID: 1951339514
Enrollment ID: I20170601000295

Medical Identifiers

Medical identifiers for Edwin Wallace Basham Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962537035	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	22625 (Texas)	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. Edwin Wallace Basham Jr allows following entities to bill medicare on his behalf.

Entity Name	Deer Oaks Geriatric Services P C
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134169287 PECOS PAC ID: 9234034075 Enrollment ID: O20031204000440

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. Edwin Wallace Basham 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
Edwin Wallace Basham Jr, EDD 3505 Olsen Blvd, Suite 224, Amarillo, TX 79109-3042 Ph: (806) 354-0411	Edwin Wallace Basham Jr, EDD 3505 Olsen Blvd, Suite 224, Amarillo, TX 79109-3042 Ph: (806) 354-0411

Reviews and Comments

Psychologist in Amarillo, TX

David Egerton, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 1400 S Coulter St, Amarillo, TX 79106 Phone: 806-351-3777 Fax: 806-351-3765
Dr. Trisha Paulette Barcley, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6010 W Amarillo Blvd, Amarillo, TX 79106 Phone: 800-355-9703
Mickie Cottle, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 17500 Fm 2186, Amarillo, TX 79119 Phone: 066-811-0348
Robert Michael Ward, Psychologist Medicare: Not Enrolled in Medicare Practice Location: Us Hwy 60 At Fm 2373, Amarillo, TX 79120 Phone: 806-477-5228
Jacob Gillette, LPC-ASSOCIATE Psychologist Medicare: Not Enrolled in Medicare Practice Location: 719 S Austin St, Amarillo, TX 79106 Phone: 806-437-2360
Carla Elbel, PH. D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 12 Medical Dr, Amarillo, TX 79106 Phone: 806-356-0404
Pamela M Kirby, PSY. D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1208 Wolflin Ave, Amarillo, TX 79109 Phone: 806-468-7980 Fax: 806-468-7987

Edwin Wallace Basham Jr, EDD - Medicare Psychologist in Amarillo, TX