Miss Mary Engelstatter, PHD in Jacksonville, NC - Medicare Psychologist Provider

Miss Mary Engelstatter, PHD is a medicare enrolled "Psychologist" provider in Jacksonville, North Carolina. Her current practice location is 1703 Country Club Road, Suite 204, Jacksonville, North Carolina. You can reach out to her office (for appointments etc.) via phone at (910) 347-3010.

Miss Mary Engelstatter is licensed to practice in North Carolina (license number 4748) 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 1740266220.

Contact Information

	Miss Mary Engelstatter, PHD
	1703 Country Club Road, Suite 204, Jacksonville, NC 28546
	(910) 347-3010
	(910) 347-3201

Map and Direction

Healthcare Provider's Profile

Full Name	Miss Mary Engelstatter
Gender	Female
Speciality	Psychologist
Location	1703 Country Club Road, Jacksonville, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1740266220
Provider Enumeration Date: 12/16/2005
Last Update Date: 04/13/2022

Medicare PECOS Information:

PECOS PAC ID: 5294053146
Enrollment ID: I20150406001418

Medical Identifiers

Medical identifiers for Miss Mary Engelstatter such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740266220	NPI	-	NPPES
046UR	Other	NC	BC/BS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	2551 (North Carolina)	Secondary
103T00000X	Psychologist	4748 (North Carolina)	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. Miss Mary Engelstatter allows following entities to bill medicare on her behalf.

Entity Name	Carolina Psychological And Psychiatric Health Srvs Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770561193 PECOS PAC ID: 9436059219 Enrollment ID: O20040109000156

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. Miss Mary Engelstatter 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
Miss Mary Engelstatter, PHD 1703 Country Club Road, Suite 204, Jacksonville, NC 28546 Ph: (910) 347-3010	Miss Mary Engelstatter, PHD 1703 Country Club Road, Suite 204, Jacksonville, NC 28546 Ph: (910) 347-3010

Reviews and Comments

Psychologist in Jacksonville, NC

Mrs. Jameszetta Hardison, LPA LMFT Psychologist Medicare: May Accept Medicare Assignments Practice Location: 1703 Country Club Rd, Suite 204, Jacksonville, NC 28546 Phone: 910-347-3010 Fax: 910-347-3201
Carissa Marsh, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 200 Doctors Dr Ste M, Jacksonville, NC 28546 Phone: 910-378-2678 Fax: 910-900-0930
Mrs. Erin Lesko, LPA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1703 Country Club Rd, Suite 204, Jacksonville, NC 28546 Phone: 910-347-3010 Fax: 910-347-3201
Dr. Cheryl Ann Morrow-bradley, PH.D Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2444 Commerce Rd, Ste 125, Jacksonville, NC 28546 Phone: 910-238-2166 Fax: 910-333-0639
Ms. Joyce M. Pittman, M.A., LPA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 206 Columbia Dr, Jacksonville, NC 28546 Phone: 910-545-9589
Jonathan Marmorstein, MA, LPA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1703 Country Club Rd, Suite 204, Jacksonville, NC 28546 Phone: 910-347-3010 Fax: 910-347-3201
Dr. Sarah Lynn Sarubbi, PSY.D Psychologist Medicare: Accepting Medicare Assignments Practice Location: 200 Tarpon Trl, Jacksonville, NC 28546 Phone: 910-938-1114 Fax: 910-938-1118

Miss Mary Engelstatter, PHD - Medicare Psychologist in Jacksonville, NC