Dr Carissa Wott, PHD in Perrysburg, OH - Medicare Psychologist Provider

Dr Carissa Wott, PHD is a medicare enrolled "Psychologist - Clinical" provider in Perrysburg, Ohio. Her current practice location is 830 W South Boundary St, Perrysburg, Ohio. You can reach out to her office (for appointments etc.) via phone at (419) 931-3020.

Dr Carissa Wott is licensed to practice in Ohio (license number 6875) 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 1548530561.

Contact Information

	Dr Carissa Wott, PHD
	830 W South Boundary St, Perrysburg, OH 43551
	(419) 931-3020
	(419) 931-3022

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Carissa Wott
Gender	Female
Speciality	Psychologist - Clinical
Location	830 W South Boundary St, Perrysburg, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548530561
Provider Enumeration Date: 01/06/2012
Last Update Date: 08/16/2018

Medicare PECOS Information:

PECOS PAC ID: 0941469852
Enrollment ID: I20120313000651

Medical Identifiers

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

Identifier	Type	State	Issuer
1548530561	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TH0004X	Psychologist - Health	6875 (Ohio)	Secondary
103TC0700X	Psychologist - Clinical	6875 (Ohio)	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 Carissa Wott allows following entities to bill medicare on her behalf.

Entity Name	Anxiety Treatment Center Of Greater Toledo Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710539580 PECOS PAC ID: 6507198199 Enrollment ID: O20191031001842

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 Carissa Wott 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 Carissa Wott, PHD 830 W South Boundary St, Perrysburg, OH 43551-5238 Ph: (419) 931-3020	Dr Carissa Wott, PHD 830 W South Boundary St, Perrysburg, OH 43551 Ph: (419) 931-3020

Reviews and Comments

Psychologist in Perrysburg, OH

Dr. Daniel A Schaefer, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 836 W South Boundary St, Perrysburg, OH 43551 Phone: 419-874-3201 Fax: 419-874-1989
Dr. Marcia Ward, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 316 Louisiana Ave, Perrysburg, OH 43551 Phone: 419-874-3212 Fax: 419-874-3227
Dr. Matthew W Rogers, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 12611 Eckel Junction Rd, Perrysburg, OH 43551 Phone: 419-873-6326 Fax: 419-873-6327
Dr. Guillermo A Bernal, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 975 Commerce Dr, Perrysburg, OH 43551 Phone: 419-874-0274 Fax: 419-874-9960
Elena Maria Clara Bortoleto, Psychologist Medicare: Medicare Enrolled Practice Location: 108 Valley Hall Dr, Perrysburg, OH 43551 Phone: 502-533-8031
Stefani Hathaway, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 29204 Tracy Creek Dr Apt 3a, Perrysburg, OH 43551 Phone: 419-666-3586
Dr. Garrett L Gilmer, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 330 Louisiana Ave Ste A, Perrysburg, OH 43551 Phone: 419-490-5560

Dr Carissa Wott, PHD - Medicare Psychologist in Perrysburg, OH