Peter D Patrick, PHD in Charlottesville, VA - Medicare Psychologist Provider

Peter D Patrick, PHD is a medicare enrolled "Psychologist - Clinical" provider in Charlottesville, Virginia. His current practice location is 417 Emmet Street, South, Charlottesville, Virginia. You can reach out to his office (for appointments etc.) via phone at (434) 924-7034.

Peter D Patrick is licensed to practice in Virginia (license number 0810000756) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1275602807.

Contact Information

	Peter D Patrick, PHD
	417 Emmet Street, South, Charlottesville, VA 22904-4270
	(434) 924-7034
	(434) 924-4621

Map and Direction

Healthcare Provider's Profile

Full Name	Peter D Patrick
Gender	Male
Speciality	Psychologist - Clinical
Location	417 Emmet Street, South, Charlottesville, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275602807
Provider Enumeration Date: 11/07/2006
Last Update Date: 08/07/2014

Medicare PECOS Information:

PECOS PAC ID: 9739138918
Enrollment ID: I20050114000052

Medical Identifiers

Medical identifiers for Peter D Patrick such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275602807	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	0810000756 (Virginia)	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. Peter D Patrick allows following entities to bill medicare on his behalf.

Entity Name	Rector & Visitors Of The University Of Virginia
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780630608 PECOS PAC ID: 4789592718 Enrollment ID: O20031118000066

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. Peter D Patrick 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
Peter D Patrick, PHD 417 Emmet Street, S, P.o. Box 400270, Charlottesville, VA 22904-4270 Ph: (434) 924-7034	Peter D Patrick, PHD 417 Emmet Street, South, Charlottesville, VA 22904-4270 Ph: (434) 924-7034

Reviews and Comments

Psychologist in Charlottesville, VA

Katherine Wilson, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 170 S Pantops Dr, Charlottesville, VA 22911 Phone: 747-999-5019
Dr. Susan Dohr Moss, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 918 9 1/2 Street, N.e., Charlottesville, VA 22902 Phone: 434-295-2222 Fax: 434-979-0410
Dr. Pagan Johanna Strauss, ED.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 420 3rd St Ne, Charlottesville, VA 22902 Phone: 540-661-5034 Fax: 434-979-1762
Dr. Latasha Leigh Nadasdi, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 223 W Main St Ste F, Charlottesville, VA 22902 Phone: 434-270-0892
Dr. Spencer James Cruz-katz, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 675 Peter Jefferson Pkwy Ste 130, Charlottesville, VA 22911 Phone: 804-491-8036
Dr. Matthew Stuart Zimmerman, PSY.D., ABPP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 977 Kelsey Dr, Charlottesville, VA 22903 Phone: 434-295-7757
Claire Amelia Manderfield, ED.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1400 Independence Way, Charlottesville, VA 22902 Phone: 434-244-3100

Peter D Patrick, PHD - Medicare Psychologist in Charlottesville, VA