Dr Marlyssa Rae Fillmore, PHD in Columbus, IN - Medicare Psychologist Provider

Dr Marlyssa Rae Fillmore, PHD is a medicare enrolled "Psychologist" provider in Columbus, Indiana. Her current practice location is 2050 Doctors Park Dr, Columbus, Indiana. You can reach out to her office (for appointments etc.) via phone at (812) 947-8976.

Dr Marlyssa Rae Fillmore is licensed to practice in Indiana (license number 20043326A) 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 1831741461.

Contact Information

	Dr Marlyssa Rae Fillmore, PHD
	2050 Doctors Park Dr, Columbus, IN 47203-2221
	(812) 947-8976
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Marlyssa Rae Fillmore
Gender	Female
Speciality	Psychologist
Location	2050 Doctors Park Dr, Columbus, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1831741461
Provider Enumeration Date: 07/13/2019
Last Update Date: 10/09/2023

Medicare PECOS Information:

PECOS PAC ID: 0840615951
Enrollment ID: I20200806002523

Medical Identifiers

Medical identifiers for Dr Marlyssa Rae Fillmore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831741461	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	20043326A (Indiana)	Primary
103TS0200X	Psychologist - School	10228724 (Indiana)	Secondary

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 Marlyssa Rae Fillmore allows following entities to bill medicare on her behalf.

Entity Name	Franciscan Health Indianapolis & Mooresville
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679678197 PECOS PAC ID: 0547154130 Enrollment ID: O20041201000954

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 Marlyssa Rae Fillmore 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 Marlyssa Rae Fillmore, PHD Po Box 781008, Detroit, MI 48278-1008 Ph: (317) 528-4800	Dr Marlyssa Rae Fillmore, PHD 2050 Doctors Park Dr, Columbus, IN 47203-2221 Ph: (812) 947-8976

Reviews and Comments

Psychologist in Columbus, IN

Susan Shanklin, HSPP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 806 Jackson St, Columbus, IN 47201 Phone: 812-377-5074 Fax: 812-378-8367
Dr. Theodore M Sharpe, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2530 Sandcrest Blvd, Columbus, IN 47203 Phone: 812-372-3177
Dr. Kelly H Lee, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3220 Middle Dr, Columbus, IN 47203 Phone: 812-378-4428 Fax: 812-378-4427
Darla Mckeeman, HSPP Psychologist Medicare: Medicare Enrolled Practice Location: 806 Jackson St, Columbus, IN 47201 Phone: 812-377-5074 Fax: 812-378-8367
Lawrence Donald Ewert, HSPP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 806 Jackson St, Columbus, IN 47201 Phone: 812-379-4033 Fax: 812-378-8367
Kristen Hurley, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2675 Fox Pointe Dr Ste A, Columbus, IN 47203 Phone: 812-376-0900
Robert J Williams, PHD HSPP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 720 N Marr Rd, Columbus, IN 47201 Phone: 812-314-3400 Fax: 812-378-8367

Dr Marlyssa Rae Fillmore, PHD - Medicare Psychologist in Columbus, IN