Patricia Wellons Vivian, PHD in Charlotte, NC - Medicare Clinical Psychologist Provider

Patricia Wellons Vivian, PHD is a medicare enrolled "Psychologist" provider in Charlotte, North Carolina. She went to University Of Mississippi School Of Medicine and graduated in 1983 and has 41 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Southeastpsych Ballantyne Pllc and her current practice location is 6115 Park South Dr, Suite 130, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 552-0116.

Patricia Wellons Vivian is licensed to practice in North Carolina (license number 1438) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1528142510.

Contact Information

	Patricia Wellons Vivian, PHD
	6115 Park South Dr, Suite 130, Charlotte, NC 28210
	(704) 552-0116
	(704) 552-7550

Map and Direction

Healthcare Provider's Profile

Full Name	Patricia Wellons Vivian
Gender	Female
Speciality	Clinical Psychologist
Experience	41 Years
Location	6115 Park South Dr, Charlotte, North Carolina
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Patricia Wellons Vivian attended and graduated from University Of Mississippi School Of Medicine in 1983

NPI Data:

NPI Number: 1528142510
Provider Enumeration Date: 10/25/2006
Last Update Date: 05/02/2012

Medicare PECOS Information:

PECOS PAC ID: 0648432989
Enrollment ID: I20120502000232

Medical Identifiers

Medical identifiers for Patricia Wellons Vivian such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528142510	NPI	-	NPPES
6000304	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	1438 (North Carolina)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southeastpsych Ballantyne Pllc	2264708460	3

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. Patricia Wellons Vivian allows following entities to bill medicare on her behalf.

Entity Name	Southeastpsych Ballantyne Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902318249 PECOS PAC ID: 2264708460 Enrollment ID: O20171016001129

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. Patricia Wellons Vivian 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
Patricia Wellons Vivian, PHD 6115 Park South Dr, Suite 130, Charlotte, NC 28210 Ph: (704) 552-0116	Patricia Wellons Vivian, PHD 6115 Park South Dr, Suite 130, Charlotte, NC 28210 Ph: (704) 552-0116

Reviews and Comments

Psychologist in Charlotte, NC

Jennifer Manning Thomas, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 3541 Randolph Rd, Ste 206, Charlotte, NC 28211 Phone: 704-381-8336
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Sara L Schara Mcanulty, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2610 E 7th St, Charlotte, NC 28204 Phone: 704-375-8900 Fax: 704-335-7178
Dr. Rebecca Griffin Smith, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 769 N Wendover Rd, Charlotte, NC 28211 Phone: 704-376-7180 Fax: 704-531-9266
Chantel Simpson, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 17512 Chaco Ln, Charlotte, NC 28278 Phone: 718-926-0914
Briana Melissa Webber-lind, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 12815 Longstraw Rd, Charlotte, NC 28227 Phone: 704-490-5848
Dr. Heather Noel Anschuetz-jeffers, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10001 Old Concord Rd, Charlotte, NC 28213 Phone: 704-547-7483 Fax: 704-547-0052

Patricia Wellons Vivian, PHD - Medicare Psychologist in Charlotte, NC