Carissa Balderas, PHD in Decatur, GA - Medicare Clinical Psychologist Provider

Carissa Balderas, PHD is a medicare enrolled "Psychologist - Clinical" provider in Decatur, Georgia. She graduated from medical school in 2016 and has 9 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice The Emory Clinic Inc and her current practice location is 1670 Clairmont Rd, Decatur, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 321-6111.

Carissa Balderas is licensed to practice in Georgia (license number PSY004175) 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 1235627399.

Contact Information

	Carissa Balderas, PHD
	1670 Clairmont Rd, Decatur, GA 30033-4004
	(404) 321-6111
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Carissa Balderas
Gender	Female
Speciality	Clinical Psychologist
Experience	9 Years
Location	1670 Clairmont Rd, Decatur, Georgia
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:

Carissa Balderas graduated from medical school in 2016

NPI Data:

NPI Number: 1235627399
Provider Enumeration Date: 04/24/2018
Last Update Date: 04/24/2018

Medicare PECOS Information:

PECOS PAC ID: 5799180030
Enrollment ID: I20210824002757

Medical Identifiers

Medical identifiers for Carissa Balderas such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235627399	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PSY004175 (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Emory University Hospital	Atlanta, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The Emory Clinic Inc	8820901408	3084

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. Carissa Balderas allows following entities to bill medicare on her behalf.

Entity Name	The Emory Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396798229 PECOS PAC ID: 8820901408 Enrollment ID: O20031110000503

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. Carissa Balderas 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
Carissa Balderas, PHD 5003 Five Oaks Way, Tucker, GA 30084-8166 Ph: (562) 652-3744	Carissa Balderas, PHD 1670 Clairmont Rd, Decatur, GA 30033-4004 Ph: (404) 321-6111

Reviews and Comments

Psychologist in Decatur, GA

Dr. Emily Brockett Jackson, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1670 Clairmont Road, Atlanta Va Medical Center, Decatur, GA 30033 Phone: 404-429-0419
Dr. Erin Christine Elliott, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1670 Clairmont Rd, Mailcode 116, Decatur, GA 30033 Phone: 404-321-6111 Fax: 404-329-4622
Dr. Lisa Anyan Smith, PH. D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1945 Mason Mill Rd, Suite 100, Decatur, GA 30033 Phone: 404-215-0107 Fax: 404-321-4887
Dr. Libby Rose Tannenbaum, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2440 Lawrenceville Hwy, Suite 200, Decatur, GA 30033 Phone: 404-634-3400 Fax: 404-634-3482
Michelle Casimir, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1670 Clairmont Rd, Decatur, GA 30033 Phone: 404-321-6111
Dr. Catherine Gray Deering, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: Atlanta Va Medical Center, 1670 Clairmont Ave., Decatur, GA 30033 Phone: 404-321-6983
Dr. Lissa Lowry Davis, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 108 E Ponce De Leon Ave, 208, Decatur, GA 30030 Phone: 678-952-7078

Carissa Balderas, PHD - Medicare Psychologist in Decatur, GA