Dr Marlyssa Rae Fillmore, PHD | |
2050 Doctors Park Dr, Columbus, IN 47203-2221 | |
(812) 947-8976 | |
Not Available |
Full Name | Dr Marlyssa Rae Fillmore |
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Gender | Female |
Speciality | Psychologist |
Location | 2050 Doctors Park Dr, Columbus, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831741461 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 20043326A (Indiana) | Primary |
103TS0200X | Psychologist - School | 10228724 (Indiana) | Secondary |
Entity Name | Franciscan Health Indianapolis & Mooresville |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679678197 PECOS PAC ID: 0547154130 Enrollment ID: O20041201000954 |
Mailing Address | Practice Location Address |
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Dr Marlyssa Rae Fillmore, PHD Po Box 781008, Detroit, MI 48278-1008 Ph: (317) 528-4800 | Dr Marlyssa Rae Fillmore, PHD 2050 Doctors Park Dr, Columbus, IN 47203-2221 Ph: (812) 947-8976 |
Susan Shanklin, HSPP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 806 Jackson St, Columbus, IN 47201 Phone: 812-377-5074 Fax: 812-378-8367 | |
Dr. Theodore M Sharpe, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2530 Sandcrest Blvd, Columbus, IN 47203 Phone: 812-372-3177 | |
Dr. Kelly H Lee, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3220 Middle Dr, Columbus, IN 47203 Phone: 812-378-4428 Fax: 812-378-4427 | |
Darla Mckeeman, HSPP Psychologist Medicare: Medicare Enrolled Practice Location: 806 Jackson St, Columbus, IN 47201 Phone: 812-377-5074 Fax: 812-378-8367 | |
Lawrence Donald Ewert, HSPP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 806 Jackson St, Columbus, IN 47201 Phone: 812-379-4033 Fax: 812-378-8367 | |
Kristen Hurley, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2675 Fox Pointe Dr Ste A, Columbus, IN 47203 Phone: 812-376-0900 | |
Robert J Williams, PHD HSPP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 720 N Marr Rd, Columbus, IN 47201 Phone: 812-314-3400 Fax: 812-378-8367 |