Elise Sarah Pearl, PHD in Detroit, MI - Medicare Psychologist Provider

Elise Sarah Pearl, PHD is a medicare enrolled "Psychologist - Clinical" provider in Detroit, Michigan. Her current practice location is 2799 W Grand Blvd, Detroit, Michigan. You can reach out to her office (for appointments etc.) via phone at (800) 653-6568.

Elise Sarah Pearl is licensed to practice in Michigan (license number 6301019488) 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 1619541174.

Contact Information

	Elise Sarah Pearl, PHD
	2799 W Grand Blvd, Detroit, MI 48202-2608
	(800) 653-6568
	(313) 916-7263

Map and Direction

Healthcare Provider's Profile

Full Name	Elise Sarah Pearl
Gender	Female
Speciality	Psychologist - Clinical
Location	2799 W Grand Blvd, Detroit, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619541174
Provider Enumeration Date: 05/18/2021
Last Update Date: 04/30/2025

Medicare PECOS Information:

PECOS PAC ID: 8820515273
Enrollment ID: I20250508001453

Medical Identifiers

Medical identifiers for Elise Sarah Pearl such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619541174	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	6301019488 (Michigan)	Secondary
103TC0700X	Psychologist - Clinical	6301019488 (Michigan)	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. Elise Sarah Pearl allows following entities to bill medicare on her behalf.

Entity Name	Henry Ford Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114001468 PECOS PAC ID: 0547178311 Enrollment ID: O20031111000517

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. Elise Sarah Pearl 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
Elise Sarah Pearl, PHD 13660 Talbot St, Oak Park, MI 48237-1128 Ph: (248) 729-1060	Elise Sarah Pearl, PHD 2799 W Grand Blvd, Detroit, MI 48202-2608 Ph: (800) 653-6568

Reviews and Comments

Psychologist in Detroit, MI

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Marquita Bedway, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: Upc Children's Hospital, 3901 Beaubien 4th Floor Carls Bldg, Detroit, MI 48201 Phone: 313-745-4878

Elise Sarah Pearl, PHD - Medicare Psychologist in Detroit, MI