Dr Mildred Janet Betancourt, PHD in Grand Prairie, TX

Dr Mildred Janet Betancourt, PHD is a medicare enrolled "Psychologist - Counseling" provider in Grand Prairie, Texas. Her current practice location is 2215 Oryx Ln, Grand Prairie, Texas. You can reach out to her office (for appointments etc.) via phone at (972) 399-9688.

Dr Mildred Janet Betancourt is licensed to practice in Texas (license number 37712) 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 1669960233.

Contact Information

	Dr Mildred Janet Betancourt, PHD
	2215 Oryx Ln, Grand Prairie, TX 75052-8806
	(972) 399-9688
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Mildred Janet Betancourt
Gender	Female
Speciality	Psychologist - Counseling
Location	2215 Oryx Ln, Grand Prairie, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1669960233
Provider Enumeration Date: 04/28/2018
Last Update Date: 04/28/2018

Medicare PECOS Information:

PECOS PAC ID: 7416466974
Enrollment ID: I20250604004351

Medical Identifiers

Medical identifiers for Dr Mildred Janet Betancourt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669960233	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC1900X	Psychologist - Counseling	37712 (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 Mildred Janet Betancourt allows following entities to bill medicare on her behalf.

Entity Name	Faithful Therapy Tx Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811706716 PECOS PAC ID: 0446778328 Enrollment ID: O20250514002592

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 Mildred Janet Betancourt 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 Mildred Janet Betancourt, PHD 2215 Oryx Ln, Grand Prairie, TX 75052-8806 Ph: (972) 399-9688	Dr Mildred Janet Betancourt, PHD 2215 Oryx Ln, Grand Prairie, TX 75052-8806 Ph: (972) 399-9688

Reviews and Comments

Psychologist in Grand Prairie, TX

Kristen Lashawn Cain, LSSP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 635 Jennifer Trl, Grand Prairie, TX 75052 Phone: 214-282-4947
Persephone Rogers, M.S, LSSP, NCSP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2803 Riverside Pkwy Apt 5203, Grand Prairie, TX 75050 Phone: 713-208-1379
Dr. Carla J Egyed, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 3108 Guadaloupe, Grand Prairie, TX 75054 Phone: 214-886-1814 Fax: 817-473-8310
Dr. Ana H Ortiz Lugo, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7402 Lake Ridge Pkwy Apt 9211, Grand Prairie, TX 75054 Phone: 787-344-7877
Dr. John B. Prosser, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1013 Lakecrest St, Grand Prairie, TX 75051 Phone: 512-782-3601
Fredrick Robinson, NASM Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1029 Kaylie St, Grand Prairie, TX 75052 Phone: 972-646-0031

Dr Mildred Janet Betancourt, PHD - Medicare Psychologist in Grand Prairie, TX