Dr Mary Beth Summerville, PHD - Medicare Psychologist in Cartersville, GA

Dr Mary Beth Summerville, PHD is a medicare enrolled "Psychologist - Clinical" provider in Cartersville, Georgia. Her current practice location is 680 Douthit Ferry Rd, Suite 106, Cartersville, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 334-8461.

Dr Mary Beth Summerville is licensed to practice in Georgia (license number PSY001432) 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 1508946195.

Contact Information

Dr Mary Beth Summerville, PHD
680 Douthit Ferry Rd, Suite 106,
Cartersville, GA 30120-4150
(770) 334-8461
(770) 334-8624

Map and Direction




Healthcare Provider's Profile

Full NameDr Mary Beth Summerville
GenderFemale
SpecialityPsychologist - Clinical
Location680 Douthit Ferry Rd, Cartersville, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1508946195
  • Provider Enumeration Date: 10/17/2006
  • Last Update Date: 06/29/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 4981625837
  • Enrollment ID: I20220104000308

Medical Identifiers

Medical identifiers for Dr Mary Beth Summerville such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508946195NPI-NPPES
000462294DMedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PSY001432 (Georgia)Primary

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 Mary Beth Summerville 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 Mary Beth Summerville, PHD
680 Douthit Ferry Rd, Suite 106,
Cartersville, GA 30120-4150

Ph: (770) 334-8461
Dr Mary Beth Summerville, PHD
680 Douthit Ferry Rd, Suite 106,
Cartersville, GA 30120-4150

Ph: (770) 334-8461

Reviews and Comments


Psychologist in Cartersville, GA

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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.