Ms Nadia Nicole Bethley, PHD is a medicare enrolled "Psychologist - Clinical" provider in Greenville, Mississippi. Her current practice location is
2363 Highway 1 S, Greenville, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(662) 334-1253.
Ms Nadia Nicole Bethley is licensed to practice in Mississippi (license number 59-1030) 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 1649759309.
Healthcare Provider's Profile
Full Name | Ms Nadia Nicole Bethley |
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Gender | Female |
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Speciality | Psychologist - Clinical |
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Location | 2363 Highway 1 S, Greenville, Mississippi |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1649759309
- Provider Enumeration Date: 08/13/2018
- Last Update Date: 09/26/2019
Medicare PECOS Information:
- PECOS PAC ID: 9537408737
- Enrollment ID: I20190306001401
Medical Identifiers
Medical identifiers for Ms Nadia Nicole Bethley such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1649759309 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | 59-1030 (Mississippi) | 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. Ms Nadia Nicole Bethley allows following entities to bill medicare on her behalf.
Entity Name | Delta Health Center, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1659378610 PECOS PAC ID: 6608783295 Enrollment ID: O20040216000676 |
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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. Ms Nadia Nicole Bethley 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 |
Ms Nadia Nicole Bethley, PHD 702 Martin Luther King St, Mound Bayou, MS 38762-9314 Ph: (662) 741-8800 | Ms Nadia Nicole Bethley, PHD 2363 Highway 1 S, Greenville, MS 38701-8337 Ph: (662) 334-1253 |
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