Dr Lucetry Dalton-trusty, PSYD in Dearborn, MI - Medicare Psychologist Provider

Dr Lucetry Dalton-trusty, PSYD is a medicare enrolled "Psychologist" provider in Dearborn, Michigan. Her current practice location is 3200 Greenfield Rd, Dearborn, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 777-9034.

Dr Lucetry Dalton-trusty is licensed to practice in Michigan (license number 6301018016) 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 1124554159.

Contact Information

	Dr Lucetry Dalton-trusty, PSYD
	3200 Greenfield Rd, Dearborn, MI 48120-1802
	(313) 777-9034
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Lucetry Dalton-trusty
Gender	Female
Speciality	Psychologist
Location	3200 Greenfield Rd, Dearborn, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124554159
Provider Enumeration Date: 05/11/2017
Last Update Date: 11/18/2024

Medicare PECOS Information:

PECOS PAC ID: 1153652466
Enrollment ID: I20240617000296

Medical Identifiers

Medical identifiers for Dr Lucetry Dalton-trusty such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124554159	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	6301018016 (Michigan)	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 Lucetry Dalton-trusty allows following entities to bill medicare on her behalf.

Entity Name	Introspective Counseling Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831654326 PECOS PAC ID: 9830631845 Enrollment ID: O20240605003601

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 Lucetry Dalton-trusty 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 Lucetry Dalton-trusty, PSYD 5425 Gullen Mall Ofc 343, Detroit, MI 48202-3905 Ph: (248) 421-3524	Dr Lucetry Dalton-trusty, PSYD 3200 Greenfield Rd, Dearborn, MI 48120-1802 Ph: (313) 777-9034

Reviews and Comments

Psychologist in Dearborn, MI

Sara Pierce, M.S., TLLP Psychologist Medicare: Medicare Enrolled Practice Location: 835 Mason St Ste B220, Dearborn, MI 48124 Phone: 313-561-9064
Ms. Jessica Dawn Clemons, MA, TLLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1 Parklane Blvd Ste 200e, Dearborn, MI 48126 Phone: 313-846-2606 Fax: 313-846-2657
Yasmeen Saba El-masry, MA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 835 Mason St Ste B220, Dearborn, MI 48124 Phone: 313-561-9064
Mr. Giovanni Vitale Ii, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 23061 Nona St, Dearborn, MI 48124 Phone: 313-969-7750
Layla Obad, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 835 Mason St Ste B220, Dearborn, MI 48124 Phone: 313-561-9064
Laurene Saad-younis, Psychologist Medicare: Accepting Medicare Assignments Practice Location: 5808 Schaefer Rd, Dearborn, MI 48126 Phone: 313-467-4653
Dr. Maritaconstance Supan, PH.D., LLP, DAPA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 934 Mason St, Dearborn, MI 48124 Phone: 313-278-8053 Fax: 313-278-8053

Dr Lucetry Dalton-trusty, PSYD - Medicare Psychologist in Dearborn, MI