Dr Marietta Baccus Richard, PHD in Southlake, TX - Medicare Clinical Psychologist Provider

Dr Marietta Baccus Richard, PHD is a medicare enrolled "Psychologist - Clinical" provider in Southlake, Texas. She graduated from medical school in 1990 and has 35 years of diverse experience with area of expertise as Clinical Psychologist. Her current practice location is 1725 E Southlake Blvd Ste 102, Southlake, Texas. You can reach out to her office (for appointments etc.) via phone at (682) 477-4400.

Dr Marietta Baccus Richard is licensed to practice in Texas (license number 24396) 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 1699950782.

Contact Information

	Dr Marietta Baccus Richard, PHD
	1725 E Southlake Blvd Ste 102, Southlake, TX 76092-6457
	(682) 477-4400
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Marietta Baccus Richard
Gender	Female
Speciality	Clinical Psychologist
Experience	35 Years
Location	1725 E Southlake Blvd Ste 102, Southlake, Texas
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:

Dr Marietta Baccus Richard graduated from medical school in 1990

NPI Data:

NPI Number: 1699950782
Provider Enumeration Date: 01/08/2008
Last Update Date: 06/28/2019

Medicare PECOS Information:

PECOS PAC ID: 3971680240
Enrollment ID: I20080410000573

Medical Identifiers

Medical identifiers for Dr Marietta Baccus Richard such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699950782	NPI	-	NPPES
8K4637	Other	TX	DOCS MCR
8K4700	Other	TX	DOMHA MCR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	24396 (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 Marietta Baccus Richard allows following entities to bill medicare on her behalf.

Entity Name	Premier Psychology Consultants Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942771787 PECOS PAC ID: 1557602935 Enrollment ID: O20190411002718

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 Marietta Baccus Richard 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 Marietta Baccus Richard, PHD 1725 E Southlake Blvd Ste 102, Southlake, TX 76092-6457 Ph: (682) 477-4400	Dr Marietta Baccus Richard, PHD 1725 E Southlake Blvd Ste 102, Southlake, TX 76092-6457 Ph: (682) 477-4400

Reviews and Comments

Psychologist in Southlake, TX

Dr. Ashley Harrison Noble, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 211 E Southlake Blvd Ste 101, Southlake, TX 76092 Phone: 817-488-3538
Dr. Kate Stark, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1723 E Southlake Blvd Ste 200, Southlake, TX 76092 Phone: 682-292-7012
Ryan Edward Holt, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1723 E Southlake Blvd Ste 200, Southlake, TX 76092 Phone: 682-292-7012
Lisa N Houghteling, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 420 N Carroll Ave Ste 140, Southlake, TX 76092 Phone: 817-421-5555 Fax: 817-421-5551
Ms. Avni Vyas, PH.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10725 East Southlake Blvd, 102, Southlake, TX 76092 Phone: 817-618-9307 Fax: 817-977-8553
Dr. Wyatt R Evans, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1723 E Southlake Blvd Ste 120, Southlake, TX 76092 Phone: 940-368-2664
Dr. Sarah Helen Thomas Randel, PHD PSYCHOLOGIST Psychologist Medicare: Not Enrolled in Medicare Practice Location: 250 W Southlake Blvd, Suite 208, Southlake, TX 76092 Phone: 817-988-9472 Fax: 817-379-1731

Dr Marietta Baccus Richard, PHD - Medicare Psychologist in Southlake, TX