Dr Geralyn Datz, PHD in Hattiesburg, MS - Medicare Clinical Psychologist Provider

Dr Geralyn Datz, PHD is a medicare enrolled "Psychologist - Health" provider in Hattiesburg, Mississippi. She graduated from medical school in 2004 and has 20 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Southern Behavioral Medicine Associates Pllc, Southern Behavioral Medicine Associates Pllc and her current practice location is 1 Commerce Dr, Ste 205, Hattiesburg, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 255-1618.

Dr Geralyn Datz is licensed to practice in Mississippi (license number 45-736) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1972616076.

Contact Information

	Dr Geralyn Datz, PHD
	1 Commerce Dr, Ste 205, Hattiesburg, MS 39402-1499
	(601) 255-1618
	(601) 255-1619

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Geralyn Datz
Gender	Female
Speciality	Clinical Psychologist
Experience	20 Years
Location	1 Commerce Dr, Hattiesburg, Mississippi
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Geralyn Datz graduated from medical school in 2004

NPI Data:

NPI Number: 1972616076
Provider Enumeration Date: 08/16/2006
Last Update Date: 11/30/2011

Medicare PECOS Information:

PECOS PAC ID: 3870510431
Enrollment ID: I20051102000277

Medical Identifiers

Medical identifiers for Dr Geralyn Datz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972616076	NPI	-	NPPES
009933077	Medicaid	AL
06036275	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	45736 (Mississippi)	Secondary
103TH0004X	Psychologist - Health	45-736 (Mississippi)	Primary
103TC0700X	Psychologist - Clinical	1140 (Louisiana)	Secondary
103TH0004X	Psychologist - Health	1140 (Louisiana)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southern Behavioral Medicine Associates Pllc	0547442766	3
Southern Behavioral Medicine Associates Pllc	0547442766	3

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 Geralyn Datz allows following entities to bill medicare on her behalf.

Entity Name	Southern Behavioral Medicine Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487950564 PECOS PAC ID: 0547442766 Enrollment ID: O20110329000359

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 Geralyn Datz 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 Geralyn Datz, PHD Po Box 1614, Hattiesburg, MS 39403-1614 Ph: (601) 255-1618	Dr Geralyn Datz, PHD 1 Commerce Dr, Ste 205, Hattiesburg, MS 39402-1499 Ph: (601) 255-1618

Reviews and Comments

Psychologist in Hattiesburg, MS

Dr. Kristy Disabatino Mcraney, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 129 Golden Eagle Avenue Rm 201, Hattiesburg, MS 39406 Phone: 601-266-4588 Fax: 601-266-6928
Lynwood Clinton Wheeler, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 102 Medical Park, Hattiesburg, MS 39401 Phone: 601-261-5159 Fax: 601-545-1740
John Clemmons, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 239 Methodist Blvd, Hattiesburg, MS 39402 Phone: 601-296-2125 Fax: 601-268-8645
Marcia J Hartwig, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-268-5620 Fax: 601-268-5720
Ryan Myles Denney, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2 Southern Point Pkwy, Suite 200, Hattiesburg, MS 39401 Phone: 601-261-5159 Fax: 601-268-2039
John Richard Harsh, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 101 Courtenay Cir, Hattiesburg, MS 39402 Phone: 601-579-5180
Dr. Sidne Buelow, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 104 Dogwood Dr, Hattiesburg, MS 39402 Phone: 601-818-3079

Dr Geralyn Datz, PHD - Medicare Psychologist in Hattiesburg, MS