Dr Joseph B Conrad, PHD is a medicare enrolled "Psychologist - Clinical" provider in Clearwater, Florida. His current practice location is
1700 N Mcmullen Booth Rd, Clearwater, Florida. You can reach out to his office (for appointments etc.) via phone at
(859) 916-2486.
Dr Joseph B Conrad is licensed to practice in Florida (license number PY9879) 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 1811042427.
Healthcare Provider's Profile
| Full Name | Dr Joseph B Conrad |
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| Gender | Male |
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| Speciality | Psychologist - Clinical |
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| Location | 1700 N Mcmullen Booth Rd, Clearwater, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1811042427
- Provider Enumeration Date: 01/24/2007
- Last Update Date: 08/13/2018
Medicare PECOS Information:
- PECOS PAC ID: 6103185772
- Enrollment ID: I20210222002254
Medical Identifiers
Medical identifiers for Dr Joseph B Conrad such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811042427 | NPI | - | NPPES |
| 30615058 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | 0510 (Kentucky) | Secondary |
| 103TC1900X | Psychologist - Counseling | 165058 (Kentucky) | Secondary |
| 103TC0700X | Psychologist - Clinical | PY9879 (Florida) | 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. Dr Joseph B Conrad allows following entities to bill medicare on his behalf.
| Entity Name | Skaggs Consulting, Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1548869084
PECOS PAC ID: 2365856101
Enrollment ID: O20210205001901 |
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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. Dr Joseph B Conrad 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 Joseph B Conrad, PHD
1700 N Mcmullen Booth Rd Ste C1,
Clearwater, FL 33759-2129
Ph: (859) 916-2486 | Dr Joseph B Conrad, PHD
1700 N Mcmullen Booth Rd,
Clearwater, FL 33759
Ph: (859) 916-2486 |
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