Dr Ernesto Nillar-fonseca, PSYD in Louisville, KY - Medicare Clinical Psychologist Provider

Dr Ernesto Nillar-fonseca, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Louisville, Kentucky. He graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Extended Care Specialists, Inc, Extended Care Specialists, Inc and his current practice location is 9824 Collier Ln, Louisville, Kentucky. You can reach out to his office (for appointments etc.) via phone at (502) 262-9487.

Dr Ernesto Nillar-fonseca is licensed to practice in Kentucky (license number 239702) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1508003195.

Contact Information

	Dr Ernesto Nillar-fonseca, PSYD
	9824 Collier Ln, Louisville, KY 40291-3184
	(502) 262-9487
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Ernesto Nillar-fonseca
Gender	Male
Speciality	Clinical Psychologist
Experience	11 Years
Location	9824 Collier Ln, Louisville, Kentucky
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Ernesto Nillar-fonseca graduated from medical school in 2013

NPI Data:

NPI Number: 1508003195
Provider Enumeration Date: 01/19/2009
Last Update Date: 12/07/2023

Medicare PECOS Information:

PECOS PAC ID: 9931592086
Enrollment ID: I20220214000196

Medical Identifiers

Medical identifiers for Dr Ernesto Nillar-fonseca such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508003195	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	20043751A (Indiana)	Secondary
103TC0700X	Psychologist - Clinical	239702 (Kentucky)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Extended Care Specialists, Inc	2466407713	183
Extended Care Specialists, Inc	2466407713	183

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. Dr Ernesto Nillar-fonseca allows following entities to bill medicare on his behalf.

Entity Name	Eventus Wholehealth Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548759392 PECOS PAC ID: 6002169539 Enrollment ID: O20190312002589

Entity Name	Extended Care Specialists, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134146079 PECOS PAC ID: 2466407713 Enrollment ID: O20190703001141

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. Dr Ernesto Nillar-fonseca 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
Dr Ernesto Nillar-fonseca, PSYD 9824 Collier Ln, Louisville, KY 40291-3184 Ph: (502) 262-9487	Dr Ernesto Nillar-fonseca, PSYD 9824 Collier Ln, Louisville, KY 40291-3184 Ph: (502) 262-9487

Reviews and Comments

Psychologist in Louisville, KY

Mary K Thompson, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 903 Baxter Ave, Louisville, KY 40204 Phone: 502-458-7366 Fax: 502-458-7362
Dr. Ann M Brian, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1909 Richmond Dr, Louisville, KY 40205 Phone: 502-451-8816
Mr. Jeffery T Mercer, MA Psychologist Medicare: Medicare Enrolled Practice Location: 11003 Perwinkle Ln, Louisville, KY 40291 Phone: 502-618-2620
Dr. Nicholas Bach, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 350 Evergreen Rd Ste 104, Louisville, KY 40243 Phone: 502-203-0838
Dr. Stacy Lyn Cambron, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 7982 New Lagrange Rd, Suite 4, Louisville, KY 40222 Phone: 502-426-6022 Fax: 502-426-9913
Dr. Louis Earl Epstein, PH. D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3333 Bardstown Road, Louisville, KY 40218 Phone: 502-459-7433 Fax: 502-459-5650
Ms. Sandra Ellen Freedman, PSYCH. ASSOCIATE Psychologist Medicare: Not Enrolled in Medicare Practice Location: 9702 Stonestreet Rd, Ste. 110, Louisville, KY 40272 Phone: 502-589-8600 Fax: 502-589-8771

Dr Ernesto Nillar-fonseca, PSYD - Medicare Psychologist in Louisville, KY