Mrs Leslie Barbara Roberts, in Holland, MI - Medicare Psychologist Provider

Mrs Leslie Barbara Roberts, is a medicare enrolled "Psychologist" provider in Holland, Michigan. Her current practice location is 890 Washington Ave Ste 150, Holland, Michigan. You can reach out to her office (for appointments etc.) via phone at (616) 460-0174.

Mrs Leslie Barbara Roberts is licensed to practice in Michigan (license number 6351004229) 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 1265678338.

Contact Information

	Mrs Leslie Barbara Roberts,
	890 Washington Ave Ste 150, Holland, MI 49423-7731
	(616) 460-0174
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Leslie Barbara Roberts
Gender	Female
Speciality	Psychologist
Location	890 Washington Ave Ste 150, Holland, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265678338
Provider Enumeration Date: 12/19/2008
Last Update Date: 07/23/2021

Medicare PECOS Information:

PECOS PAC ID: 7012329089
Enrollment ID: I20211220000644

Medical Identifiers

Medical identifiers for Mrs Leslie Barbara Roberts such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265678338	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC1900X	Psychologist - Counseling	6301012799 (Michigan)	Secondary
103T00000X	Psychologist	6351004229 (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. Mrs Leslie Barbara Roberts allows following entities to bill medicare on her behalf.

Entity Name	West Michigan Psychological Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215407044 PECOS PAC ID: 6103238167 Enrollment ID: O20201215003321

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. Mrs Leslie Barbara Roberts 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
Mrs Leslie Barbara Roberts, 890 Washington Ave Ste 150, Holland, MI 49423-7731 Ph: (616) 460-0174	Mrs Leslie Barbara Roberts, 890 Washington Ave Ste 150, Holland, MI 49423-7731 Ph: (616) 460-0174

Reviews and Comments

Psychologist in Holland, MI

Mr. Joseph Andrew Bechard, MSW EDS LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 36 West 8th Street, Suite 250 Center For Psycho Educational Services, Holland, MI 49423 Phone: 616-836-9636 Fax: 616-393-0903
Ms. Kathleen D. Smith, PSYCHOLOGIST LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 12265 James St, Holland, MI 49424 Phone: 616-494-5698 Fax: 616-393-5687
Brianna Taylor, LPC, TLLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 854 Washington Ave Ste 600, Holland, MI 49423 Phone: 616-499-2218
Diego Castro Franco, TLLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 238 Hoover Blvd, Holland, MI 49423 Phone: 616-591-9400
Matthew Warren Bush, MA, LLP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 926 S Washington Ave, Holland, MI 49423 Phone: 616-820-3780
Jesi Nicole Sortwell, TLLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 238 Hoover Blvd Ste 10, Holland, MI 49423 Phone: 616-591-9000
James Henry Hoeksema, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 720 E 8th St, Suite 2, Holland, MI 49423 Phone: 616-355-0473 Fax: 616-355-0480

Mrs Leslie Barbara Roberts, - Medicare Psychologist in Holland, MI