Dr Mariah Montgomery Stickley, PHD in Bryan, TX - Medicare Psychologist Provider

Dr Mariah Montgomery Stickley, PHD is a medicare enrolled "Psychologist" provider in Bryan, Texas. Her current practice location is 2900 E 29th St, Bryan, Texas. You can reach out to her office (for appointments etc.) via phone at (797) 436-0702.

Dr Mariah Montgomery Stickley is licensed to practice in Texas (license number 39922) 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 1033984414.

Contact Information

	Dr Mariah Montgomery Stickley, PHD
	2900 E 29th St, Bryan, TX 77802-2622
	(797) 436-0702
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Mariah Montgomery Stickley
Gender	Female
Speciality	Psychologist
Location	2900 E 29th St, Bryan, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033984414
Provider Enumeration Date: 11/16/2023
Last Update Date: 11/16/2023

Medicare PECOS Information:

PECOS PAC ID: 7719321918
Enrollment ID: I20240215002174

Medical Identifiers

Medical identifiers for Dr Mariah Montgomery Stickley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033984414	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	39922 (Texas)	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 Mariah Montgomery Stickley allows following entities to bill medicare on her behalf.

Entity Name	Tri-county Clinical
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336456227 PECOS PAC ID: 1153502869 Enrollment ID: O20110228000657

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 Mariah Montgomery Stickley 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 Mariah Montgomery Stickley, PHD 9224 Stonebrook Dr, College Station, TX 77845-9329 Ph: (713) 819-5273	Dr Mariah Montgomery Stickley, PHD 2900 E 29th St, Bryan, TX 77802-2622 Ph: (797) 436-0702

Reviews and Comments

Psychologist in Bryan, TX

Dr. Trey William Armstrong, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 8441 State Highway 47, Bryan, TX 77807 Phone: 979-436-0700
Dr. Ryan Frank Pittsinger, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 211 N Main St Apt 23, Bryan, TX 77803 Phone: 310-562-6010
Dr. Frances Harriett Kimbrough, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 403 South Houston Avenue, Bryan, TX 77803 Phone: 979-775-9406
Dr. James Otis Deegear Iv, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2554 E Villa Maria Rd, Bryan, TX 77802 Phone: 979-229-7636
Dr. Anita Luisa Sohn Mccormick, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1318 Memorial Dr, Bryan, TX 77802 Phone: 979-776-2872 Fax: 979-776-2872
Lyric Leanna Jackson, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2900 E 29th St, Bryan, TX 77802 Phone: 979-776-8440

Dr Mariah Montgomery Stickley, PHD - Medicare Psychologist in Bryan, TX