Dr Douglas Waltman, PHD in Mentor, OH - Medicare Psychologist Provider

Dr Douglas Waltman, PHD is a medicare enrolled "Psychologist - Clinical" provider in Mentor, Ohio. His current practice location is 9002 Mentor Ave, Mentor, Ohio. You can reach out to his office (for appointments etc.) via phone at (440) 205-1008.

Dr Douglas Waltman is licensed to practice in Ohio (license number 3553) 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 1285850180.

Contact Information

	Dr Douglas Waltman, PHD
	9002 Mentor Ave, Mentor, OH 44060-6302
	(440) 205-1008
	(440) 205-1047

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Douglas Waltman
Gender	Male
Speciality	Psychologist - Clinical
Location	9002 Mentor Ave, Mentor, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1285850180
Provider Enumeration Date: 04/18/2007
Last Update Date: 11/28/2011

Medicare PECOS Information:

PECOS PAC ID: 2163682584
Enrollment ID: I20120322000180

Medical Identifiers

Medical identifiers for Dr Douglas Waltman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285850180	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	3553 (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 Douglas Waltman allows following entities to bill medicare on his behalf.

Entity Name	Rakesh Ranjan M.d. & Assoc., Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033143722 PECOS PAC ID: 6507895067 Enrollment ID: O20050805000212

Entity Name	Waltman Psychological Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669008249 PECOS PAC ID: 1557790037 Enrollment ID: O20200403002062

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 Douglas Waltman 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 Douglas Waltman, PHD 9002 Mentor Ave, Mentor, OH 44060-6302 Ph: (440) 205-1008	Dr Douglas Waltman, PHD 9002 Mentor Ave, Mentor, OH 44060-6302 Ph: (440) 205-1008

Reviews and Comments

Psychologist in Mentor, OH

Mrs. Maureen Ray, M.A.ED Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6451 Center St, Mentor, OH 44060 Phone: 440-974-5241
Emily Katherine Latessa, ED.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6451 Center St, Mentor, OH 44060 Phone: 440-974-5241
Christina Riddell, M.A., ED.S., NCSP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6477 Center St, Mentor, OH 44060 Phone: 440-974-5438
Dr. Elizabeth Blair Wyatt, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8039 Broadmoor Rd, #15, Mentor, OH 44060 Phone: 440-269-1500 Fax: 440-269-8545
Erin Kay Kotkowski, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 8224 Mentor Ave Ste 208, Mentor, OH 44060 Phone: 440-392-2222 Fax: 440-565-2349
Mrs. Kelly Light, ED.S., NCSP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6451 Center St, Mentor, OH 44060 Phone: 440-974-5241

Dr Douglas Waltman, PHD - Medicare Psychologist in Mentor, OH