Holly M Chalk, PHD in Eldersburg, MD - Medicare Clinical Psychologist Provider

Holly M Chalk, PHD is a medicare enrolled "Psychologist" provider in Eldersburg, Maryland. She graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Cedar Ridge Counseling Centers, Llc and her current practice location is 1425 Liberty Rd, Suite 208, Eldersburg, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 552-0773.

Holly M Chalk is licensed to practice in Maryland (license number 04635) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1174853253.

Contact Information

	Holly M Chalk, PHD
	1425 Liberty Rd, Suite 208, Eldersburg, MD 21784-6420
	(410) 552-0773
	(410) 552-0774

Map and Direction

Healthcare Provider's Profile

Full Name	Holly M Chalk
Gender	Female
Speciality	Clinical Psychologist
Experience	17 Years
Location	1425 Liberty Rd, Eldersburg, Maryland
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Holly M Chalk graduated from medical school in 2007

NPI Data:

NPI Number: 1174853253
Provider Enumeration Date: 01/12/2010
Last Update Date: 01/12/2010

Medicare PECOS Information:

PECOS PAC ID: 3779761291
Enrollment ID: I20110701000019

Medical Identifiers

Medical identifiers for Holly M Chalk such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174853253	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	04635 (Maryland)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Cedar Ridge Counseling Centers, Llc	4981649738	27

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. Holly M Chalk allows following entities to bill medicare on her behalf.

Entity Name	Cedar Ridge Counseling Centers, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932103926 PECOS PAC ID: 4981649738 Enrollment ID: O20110628000570

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. Holly M Chalk 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
Holly M Chalk, PHD 1425 Liberty Rd, Suite 208, Eldersburg, MD 21784-6420 Ph: (410) 552-0773	Holly M Chalk, PHD 1425 Liberty Rd, Suite 208, Eldersburg, MD 21784-6420 Ph: (410) 552-0773

Reviews and Comments

Psychologist in Eldersburg, MD

Sandra Lashley, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1380 Progress Way, Suite101, Eldersburg, MD 21784 Phone: 410-549-5181 Fax: 410-549-5182
David J Raznick, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1380 Progress Way, Suite 101, Eldersburg, MD 21784 Phone: 410-549-5181 Fax: 410-549-5182
Daniel P Evatt, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1311 Londontown Blvd, Suite 130a, Eldersburg, MD 21784 Phone: 410-552-0773 Fax: 410-549-3197
William Edward Hopkins, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1380 Progress Way, #101, Eldersburg, MD 21784 Phone: 410-549-5181 Fax: 410-549-5182
Dr. Beatrice Ann Gerry, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1380 Progress Way, Suite 101, Eldersburg, MD 21784 Phone: 410-549-5181 Fax: 410-549-5182
Candice N Aston, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1311 Londontown Blvd Ste 130a, Eldersburg, MD 21784 Phone: 410-356-9208 Fax: 443-200-0267
Larney R Gump, PH D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1380 Progress Way, Suite 101, Eldersburg, MD 21784 Phone: 410-549-5181 Fax: 410-549-5182

Holly M Chalk, PHD - Medicare Psychologist in Eldersburg, MD