Ethera D Brown, PHD in Tempe, AZ - Medicare Psychologist Provider

Ethera D Brown, PHD is a medicare enrolled "Psychologist" provider in Tempe, Arizona. His current practice location is 4659 S Lakeshore Dr, Suite A, Tempe, Arizona. You can reach out to his office (for appointments etc.) via phone at (480) 423-5619.

Ethera D Brown is licensed to practice in Arizona (license number 3234) 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 1881758589.

Contact Information

	Ethera D Brown, PHD
	4659 S Lakeshore Dr, Suite A, Tempe, AZ 85282-7150
	(480) 423-5619
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ethera D Brown
Gender	Male
Speciality	Psychologist
Location	4659 S Lakeshore Dr, Tempe, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1881758589
Provider Enumeration Date: 12/20/2006
Last Update Date: 08/28/2013

Medicare PECOS Information:

PECOS PAC ID: 9537393145
Enrollment ID: I20131015001811

Medical Identifiers

Medical identifiers for Ethera D Brown such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881758589	NPI	-	NPPES
408725	Medicaid	AZ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	3234 (Arizona)	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. Ethera D Brown allows following entities to bill medicare on his behalf.

Entity Name	Ebony House Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114171527 PECOS PAC ID: 2163656992 Enrollment ID: O20131010001465

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. Ethera D Brown 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
Ethera D Brown, PHD 4659 S Lakeshore Dr, Suite A, Tempe, AZ 85282-7150 Ph: (480) 423-5619	Ethera D Brown, PHD 4659 S Lakeshore Dr, Suite A, Tempe, AZ 85282-7150 Ph: (480) 423-5619

Reviews and Comments

Psychologist in Tempe, AZ

Deborah Dyer, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1150 S. Forest Ave Ssv 334, Tempe, AZ 85287 Phone: 480-965-6147 Fax: 480-965-3426
David J Mcintyre, PH.D., ABPP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4500 S Lakeshore Dr, Suite 300, Tempe, AZ 85282 Phone: 480-495-5685
Dr. Linda Claire Caterino, PHD PSYCHOLOGIST Psychologist Medicare: Accepting Medicare Assignments Practice Location: 5420 S Lakeshore Dr 102, Tempe, AZ 85283 Phone: 480-668-9392 Fax: 480-820-2047
Dr. Connie S. Pyburn Ph.d Pllc, PH. D. Psychologist Medicare: Medicare Enrolled Practice Location: 6625 S Rural Rd, Ste 101, Tempe, AZ 85283 Phone: 480-577-5044 Fax: 480-345-2294
Carl Ross, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8700 S Kyrene Rd, Tempe, AZ 85284 Phone: 480-783-2460
Dr. Shanni Dover, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1500 N Scovel St, Tempe, AZ 85281 Phone: 480-941-2220
Dr. Katherine K. Wilson, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2101 E Broadway Rd, Suite 33, Tempe, AZ 85282 Phone: 480-966-8729 Fax: 480-446-0854

Ethera D Brown, PHD - Medicare Psychologist in Tempe, AZ