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

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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 NameDr Douglas Waltman
GenderMale
SpecialityPsychologist - Clinical
Location9002 Mentor Ave, Mentor, Ohio
Accepts Medicare AssignmentsMedicare 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.
IdentifierTypeStateIssuer
1285850180NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - 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 NameRakesh Ranjan M.D. & Assoc., Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033143722
PECOS PAC ID: 6507895067
Enrollment ID: O20050805000212

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 AddressPractice 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    
Brianne Ragazzo,
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 6451 Center St, Mentor, OH 44060
Phone: 440-255-4444    
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    
Jacqueline Kampman,
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 8979 Mentor Ave, Mentor, OH 44060
Phone: 440-974-2250    
Kristen Merrill,
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 6477 Center St, Mentor, OH 44060
Phone: 440-974-5332    
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

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.