Elena Bettolivaughan, PHD in Albuquerque, NM - Medicare Psychologist Provider

Elena Bettolivaughan, PHD is a medicare enrolled "Psychologist - Psychoanalysis" provider in Albuquerque, New Mexico. Her current practice location is 1325 Wyoming Blvd Ne, Pmg Kaseman Behavioral Medicine, Albuquerque, New Mexico. You can reach out to her office (for appointments etc.) via phone at (505) 291-2536.

Elena Bettolivaughan is licensed to practice in New Mexico (license number 644) 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 1083730980.

Contact Information

	Elena Bettolivaughan, PHD
	1325 Wyoming Blvd Ne, Pmg Kaseman Behavioral Medicine, Albuquerque, NM 87112-5046
	(505) 291-2536
	(505) 291-5327

Map and Direction

Healthcare Provider's Profile

Full Name	Elena Bettolivaughan
Gender	Female
Speciality	Psychologist - Psychoanalysis
Location	1325 Wyoming Blvd Ne, Albuquerque, New Mexico
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083730980
Provider Enumeration Date: 03/22/2007
Last Update Date: 12/14/2009

Medicare PECOS Information:

PECOS PAC ID: 4688578636
Enrollment ID: I20031121000492

Medical Identifiers

Medical identifiers for Elena Bettolivaughan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083730980	NPI	-	NPPES
000K2674	Medicaid	NM

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TP0814X	Psychologist - Psychoanalysis	644 (New Mexico)	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. Elena Bettolivaughan allows following entities to bill medicare on her behalf.

Entity Name	Presbyterian Healthcare Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104802354 PECOS PAC ID: 9234041708 Enrollment ID: O20031103000603

Entity Name	Unm Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831218627 PECOS PAC ID: 4981795267 Enrollment ID: O20070801000589

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. Elena Bettolivaughan 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
Elena Bettolivaughan, PHD Po Box 26666, Phs Provider Enrollment, Albuquerque, NM 87125-6666 Ph: (505) 923-5356	Elena Bettolivaughan, PHD 1325 Wyoming Blvd Ne, Pmg Kaseman Behavioral Medicine, Albuquerque, NM 87112-5046 Ph: (505) 291-2536

Reviews and Comments

Psychologist in Albuquerque, NM

Dr. Cynthia A. Ziemer, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 301 Unser Blvd Nw, Albuquerque, NM 87121 Phone: 505-925-4126
Dr. Michael Carvajal, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 915 Vassar Dr Ne Ste 170, Albuquerque, NM 87106 Phone: 505-272-8833 Fax: 505-272-8316
Dr. William Gary Mcfarland, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4801 Indian School Rd Ne Ste 200, Albuquerque, NM 87110 Phone: 505-875-7357 Fax: 505-286-7442
Dr. Joseph Alfred Bousquet, MSW, PHD Psychologist Medicare: Medicare Enrolled Practice Location: One San Rafael, The Cognitive Behavorial Institute Of Albuquerque, Albuquerque, NM 87122 Phone: 505-832-1600 Fax: 505-832-1161
Dr. Helen Lamar Jackson, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6000 Summer Ave Ne, Albuquerque, NM 87110 Phone: 505-266-4226 Fax: 505-265-3844
Dr. Gary J Neuger, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4801 Lang Ave Ne Ste 110, Albuquerque, NM 87109 Phone: 505-798-2552
Dr. Bryan Lance Hurt, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3405 Pan American Fwy Ne, Albuquerque, NM 87107 Phone: 505-222-0324 Fax: 505-222-0301

Elena Bettolivaughan, PHD - Medicare Psychologist in Albuquerque, NM