Dr Vivian Gay Deitrich-maclean, PHD - Medicare Psychologist in Laramie, WY

Dr Vivian Gay Deitrich-maclean, PHD is a medicare enrolled "Psychologist - Family" provider in Laramie, Wyoming. Her current practice location is 507 S 4th St, Suite B, Laramie, Wyoming. You can reach out to her office (for appointments etc.) via phone at (307) 755-1982.

Dr Vivian Gay Deitrich-maclean is licensed to practice in Wyoming (license number 291) 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 1003030511.

Contact Information

Dr Vivian Gay Deitrich-maclean, PHD
507 S 4th St, Suite B,
Laramie, WY 82070-3729
(307) 755-1982
(307) 742-4089

Map and Direction




Healthcare Provider's Profile

Full NameDr Vivian Gay Deitrich-maclean
GenderFemale
SpecialityPsychologist - Family
Location507 S 4th St, Laramie, Wyoming
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003030511
  • Provider Enumeration Date: 04/13/2007
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 7113237447
  • Enrollment ID: I20200630001441

Medical Identifiers

Medical identifiers for Dr Vivian Gay Deitrich-maclean such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003030511NPI-NPPES
119587500MedicaidWY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 291 (Wyoming)Primary
103T00000XPsychologist 291 (Wyoming)Primary
103TC2200XPsychologist - Clinical Child & Adolescent 291 (Wyoming)Primary
103TF0000XPsychologist - Family 291 (Wyoming)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 Vivian Gay Deitrich-maclean 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 Vivian Gay Deitrich-maclean, PHD
507 S 4th St, Suite B,
Laramie, WY 82070-3729

Ph: (307) 755-1982
Dr Vivian Gay Deitrich-maclean, PHD
507 S 4th St, Suite B,
Laramie, WY 82070-3729

Ph: (307) 755-1982

Reviews and Comments


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Phone: 307-745-8915    Fax: 307-745-8761

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).

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