Dr Emily Elizabeth Depetro, PSYD in Marquette, MI - Medicare Psychologist Provider

Dr Emily Elizabeth Depetro, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Marquette, Michigan. Her current practice location is 112 W Washington St Ste D, Marquette, Michigan. You can reach out to her office (for appointments etc.) via phone at (906) 869-8003.

Dr Emily Elizabeth Depetro is licensed to practice in Michigan (license number 6351004440) 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 1588385686.

Contact Information

	Dr Emily Elizabeth Depetro, PSYD
	112 W Washington St Ste D, Marquette, MI 49855-4367
	(906) 869-8003
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Emily Elizabeth Depetro
Gender	Female
Speciality	Psychologist - Clinical
Location	112 W Washington St Ste D, Marquette, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588385686
Provider Enumeration Date: 09/07/2022
Last Update Date: 09/07/2022

Medicare PECOS Information:

PECOS PAC ID: 4587031760
Enrollment ID: I20221031002977

Medical Identifiers

Medical identifiers for Dr Emily Elizabeth Depetro such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588385686	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	6351004440 (Michigan)	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 Emily Elizabeth Depetro allows following entities to bill medicare on her behalf.

Entity Name	Rising Up Psychological Services Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295456366 PECOS PAC ID: 3678940855 Enrollment ID: O20221031002940

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 Emily Elizabeth Depetro 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 Emily Elizabeth Depetro, PSYD 2202 Fitch Ave, Marquette, MI 49855-1704 Ph: (906) 869-8003	Dr Emily Elizabeth Depetro, PSYD 112 W Washington St Ste D, Marquette, MI 49855-4367 Ph: (906) 869-8003

Reviews and Comments

Psychologist in Marquette, MI

Julianna Weir, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 102 W Washington St Ste 106, Marquette, MI 49855 Phone: 906-228-8881
Mr. Thomas Martin Stanger, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 711 W Magnetic St, Marquette, MI 49855 Phone: 906-228-3086
Craig Laurence Kitchen, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1000 Silver Creek Rd, Marquette, MI 49855 Phone: 906-249-5437 Fax: 906-249-5438
Mr. Gregory Sansom Jones, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1300 W Ridge St Ste 2, Marquette, MI 49855 Phone: 906-228-6200 Fax: 906-228-6224
Beth Thiele, TLLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 102 W Washington St Ste 106, Marquette, MI 49855 Phone: 906-228-8881
Dr. Louann Kruse, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1024 High St, Marquette, MI 49855 Phone: 859-238-9469
Sigrid Crowel, MS Psychologist Medicare: Not Enrolled in Medicare Practice Location: 102 W Washington St Ste 106, Marquette, MI 49855 Phone: 906-228-8881 Fax: 906-228-4945

Dr Emily Elizabeth Depetro, PSYD - Medicare Psychologist in Marquette, MI