Colleen Mary Mortell, PHD in Madison, WI - Medicare Psychologist Provider

Colleen Mary Mortell, PHD is a medicare enrolled "Psychologist" provider in Madison, Wisconsin. Her current practice location is 2727 Marshall Ct, Madison, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (608) 238-9354.

Colleen Mary Mortell is licensed to practice in Wisconsin (license number 2035-057) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1194814269.

Contact Information

	Colleen Mary Mortell, PHD
	2727 Marshall Ct, Madison, WI 53705-2255
	(608) 238-9354
	(608) 238-7675

Map and Direction

Healthcare Provider's Profile

Full Name	Colleen Mary Mortell
Gender	Female
Speciality	Psychologist
Location	2727 Marshall Ct, Madison, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194814269
Provider Enumeration Date: 10/12/2006
Last Update Date: 08/04/2015

Medicare PECOS Information:

PECOS PAC ID: 4789682220
Enrollment ID: I20061117000188

Medical Identifiers

Medical identifiers for Colleen Mary Mortell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194814269	NPI	-	NPPES
39712000	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	2035 (Wisconsin)	Secondary
103T00000X	Psychologist	2035-057 (Wisconsin)	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. Colleen Mary Mortell allows following entities to bill medicare on her behalf.

Entity Name	Psychiatric Services Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902098957 PECOS PAC ID: 4789656083 Enrollment ID: O20040809000060

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. Colleen Mary Mortell 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
Colleen Mary Mortell, PHD 2727 Marshall Ct, Madison, WI 53705-2255 Ph: (608) 238-9354	Colleen Mary Mortell, PHD 2727 Marshall Ct, Madison, WI 53705-2255 Ph: (608) 238-9354

Reviews and Comments

Psychologist in Madison, WI

Dr. Elliot Aaron Tebbe, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 419 S Mills St, Madison, WI 53715 Phone: 320-339-9992
Dr. Travis Fox, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4513 Vernon Blvd Ste 100, Madison, WI 53705 Phone: 503-730-0072
Clare Hawthorne, ED.S, M.ED Psychologist Medicare: Not Enrolled in Medicare Practice Location: 49 Kessel Ct, Madison, WI 53711 Phone: 608-280-2700
Blake Bettis, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1750 Fordem Ave Apt 704, Madison, WI 53704 Phone: 470-331-2534
Ms. Patricia Ann Hanson, PH D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7633 Ganser Way, Ste 204, Madison, WI 53719 Phone: 608-829-1800 Fax: 608-829-1885
Dr. David C. Lee, PHD, JD Psychologist Medicare: Medicare Enrolled Practice Location: 1713 Camelot Dr, Madison, WI 53705 Phone: 608-301-1047 Fax: 608-301-1390
Mr. Harvey Hilbert Honig, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 122 E Olin Ave, Ste 220, Madison, WI 53713 Phone: 608-255-9119 Fax: 608-255-9219

Colleen Mary Mortell, PHD - Medicare Psychologist in Madison, WI