Melissa S Marquart-carlson, PHD in Green Bay, WI - Medicare Psychologist Provider

Melissa S Marquart-carlson, PHD is a medicare enrolled "Psychologist" provider in Green Bay, Wisconsin. Her current practice location is 1501 Creekside Ln, Green Bay, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 288-8030.

Melissa S Marquart-carlson is licensed to practice in Wisconsin (license number 2560) 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 1619905577.

Contact Information

	Melissa S Marquart-carlson, PHD
	1501 Creekside Ln, Green Bay, WI 54311-7351
	(920) 288-8030
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Melissa S Marquart-carlson
Gender	Female
Speciality	Psychologist
Location	1501 Creekside Ln, Green Bay, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619905577
Provider Enumeration Date: 06/29/2006
Last Update Date: 05/14/2024

Medicare PECOS Information:

PECOS PAC ID: 8729007158
Enrollment ID: I20051115000909

Medical Identifiers

Medical identifiers for Melissa S Marquart-carlson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619905577	NPI	-	NPPES
39149700	Medicaid	WI
P00460245	Other	WI	RAILROAD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	2560 (Wisconsin)	Primary
103G00000X	Clinical Neuropsychologist	2560 (Wisconsin)	Secondary

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. Melissa S Marquart-carlson allows following entities to bill medicare on her behalf.

Entity Name	Baycare Clinic Llp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588609648 PECOS PAC ID: 4385554328 Enrollment ID: O20031105000087

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. Melissa S Marquart-carlson 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
Melissa S Marquart-carlson, PHD 1501 Creekside Ln, Green Bay, WI 54311-7351 Ph: () -	Melissa S Marquart-carlson, PHD 1501 Creekside Ln, Green Bay, WI 54311-7351 Ph: (920) 288-8030

Reviews and Comments

Psychologist in Green Bay, WI

Irma Catherine Smet, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1821 S Webster Ave, Green Bay, WI 54301 Phone: 920-496-4700 Fax: 920-496-4705
Michael P Sayers, PH D Psychologist Medicare: Medicare Enrolled Practice Location: 2640 W Point Rd, Green Bay, WI 54304 Phone: 920-869-2711
Mr. William B Hitch, PH.D., ABPP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 725 S Webster Ave, Green Bay, WI 54301 Phone: 920-433-7995 Fax: 920-433-3458
Dr. Katie Rollin, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1160 Kepler Dr, Green Bay, WI 54311 Phone: 920-288-5500
Gabrielle Marie Rodriguez, PSY.D Psychologist Medicare: Medicare Enrolled Practice Location: 301 E Saint Joseph St, Green Bay, WI 54301 Phone: 920-433-6073 Fax: 920-431-0333
Brian J Cagle, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 301 E Saint Joseph St, Green Bay, WI 54301 Phone: 920-433-6073
Dr. Bonnie Rae Nussbaum, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3600 Velp Ave Ste 4-a, Green Bay, WI 54313 Phone: 920-884-7445 Fax: 920-844-7449

Melissa S Marquart-carlson, PHD - Medicare Psychologist in Green Bay, WI