Mary J Wells, PHD LCP in Henrico, VA - Medicare Clinical Psychologist Provider

Mary J Wells, PHD LCP is a medicare enrolled "Psychologist - Clinical" provider in Henrico, Virginia. She graduated from medical school in 1988 and has 36 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Mcv Associated Physicians and her current practice location is 11958 W Broad St, Henrico, Virginia. You can reach out to her office (for appointments etc.) via phone at (804) 360-4669.

Mary J Wells is licensed to practice in Virginia (license number 0810001817) 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 1568568376.

Contact Information

	Mary J Wells, PHD LCP
	11958 W Broad St, Henrico, VA 23233
	(804) 360-4669
	(804) 364-6521

Map and Direction

Healthcare Provider's Profile

Full Name	Mary J Wells
Gender	Female
Speciality	Clinical Psychologist
Experience	36 Years
Location	11958 W Broad St, Henrico, Virginia
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:

Mary J Wells graduated from medical school in 1988

NPI Data:

NPI Number: 1568568376
Provider Enumeration Date: 09/16/2006
Last Update Date: 05/25/2018

Medicare PECOS Information:

PECOS PAC ID: 3971678624
Enrollment ID: I20080815000070

Medical Identifiers

Medical identifiers for Mary J Wells such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568568376	NPI	-	NPPES
198317000	Other	VA	MAGELLAN
31705	Other	VA	VALUE OPTIONS
356101	Other	VA	PHCS
4529892	Other	VA	AETNA
190033	Other	VA	COMPSYCH
082546	Other	VA	SENTARA BEHAVIORAL
191723	Other	VA	HEALTHKEEPERS
341259	Other	VA	UBH
381756	Other	VA	ANTHEM
611681	Other	VA	OPTIMUM CHOICE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	0810001817 (Virginia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Medical College Of Virginia Hospitals	Richmond, VA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mcv Associated Physicians	4385542117	1312

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. Mary J Wells allows following entities to bill medicare on her behalf.

Entity Name	Mcv Associated Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710959457 PECOS PAC ID: 4385542117 Enrollment ID: O20031230000559

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. Mary J Wells 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
Mary J Wells, PHD LCP Po Box 91734, Richmond, VA 23291-1734 Ph: (804) 358-6100	Mary J Wells, PHD LCP 11958 W Broad St, Henrico, VA 23233 Ph: (804) 360-4669

Reviews and Comments

Psychologist in Henrico, VA

Ms. Kendra Lee Vendetti, M.A. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3400 Darbytown Rd, Henrico, VA 23231 Phone: 804-795-7030
Christina Vitek, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8801 Nesslewood Dr, Henrico, VA 23229 Phone: 804-527-4620
Dr. Debbie Daniels Mohring, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2200 Pump Rd, Ste 220, Henrico, VA 23233 Phone: 804-740-0681 Fax: 804-740-4651
Dr. Andrea M Stern, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4110 E Parham Rd Ste 208, Henrico, VA 23228 Phone: 804-396-3243
Mr. Benjamin E. Skowysz, LCSW, CSOTP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 12232 Gayton Station Blvd, Henrico, VA 23233 Phone: 804-360-3988
Sandra C Fanning, PH.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3417 Grove Gate Ct Apt 1832, Henrico, VA 23233 Phone: 215-301-3039

Mary J Wells, PHD LCP - Medicare Psychologist in Henrico, VA