Ms Sharde Bryaun Pettis, MA in Cincinnati, OH - Medicare Psychologist Provider

Ms Sharde Bryaun Pettis, MA is a medicare enrolled "Psychologist - Clinical Child & Adolescent" provider in Cincinnati, Ohio. Her current practice location is 2825 Burnet Ave Fl 4, Cincinnati, Ohio. You can reach out to her office (for appointments etc.) via phone at (513) 558-5857.

Ms Sharde Bryaun Pettis is licensed to practice in * (Not Available) (license number ) 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 1578058608.

Contact Information

	Ms Sharde Bryaun Pettis, MA
	2825 Burnet Ave Fl 4, Cincinnati, OH 45219-2426
	(513) 558-5857
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Sharde Bryaun Pettis
Gender	Female
Speciality	Psychologist - Clinical Child & Adolescent
Location	2825 Burnet Ave Fl 4, Cincinnati, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578058608
Provider Enumeration Date: 07/01/2018
Last Update Date: 04/29/2020

Medicare PECOS Information:

PECOS PAC ID: 5193101764
Enrollment ID: I20221005000883

Medical Identifiers

Medical identifiers for Ms Sharde Bryaun Pettis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578058608	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC2200X	Psychologist - Clinical Child & Adolescent	(* (Not Available))	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. Ms Sharde Bryaun Pettis allows following entities to bill medicare on her behalf.

Entity Name	Childrens Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912939703 PECOS PAC ID: 0244143170 Enrollment ID: O20031107000130

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. Ms Sharde Bryaun Pettis 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
Ms Sharde Bryaun Pettis, MA 2825 Burnet Ave Fl 4, Cincinnati, OH 45219-2426 Ph: (513) 558-5857	Ms Sharde Bryaun Pettis, MA 2825 Burnet Ave Fl 4, Cincinnati, OH 45219-2426 Ph: (513) 558-5857

Reviews and Comments

Psychologist in Cincinnati, OH

Gerald B Powell, PH.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1118 Ryalnd Ave, Cincinnati, OH 45237 Phone: 513-242-3894 Fax: 440-243-6530
Diane Patricia Castelli, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 1101 Summit Rd, Cincinnati, OH 45237 Phone: 513-948-3600
Heather Strong Harrison, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 3333 Burnet Ave, Ml3015, Cincinnati, OH 45229 Phone: 513-636-4336 Fax: 513-636-7756
Dr. Donna Marie Maier, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 743 Reynard Ave, Cincinnati, OH 45231 Phone: 513-739-8705 Fax: 937-848-2080
Rachelle Ann Sekerka, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3200 Vine St, 116b, Cincinnati, OH 45220 Phone: 513-475-6402
Dr. Molly W Nemann, EDD LICENSED PSYCHOL Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2480 Walnut View Court, Cincinnati, OH 45230 Phone: 513-233-3998 Fax: 513-233-3998
Dr. James Esmail, PSY.D Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1101 Summit Rd, Cincinnati, OH 45237 Phone: 513-948-3721

Ms Sharde Bryaun Pettis, MA - Medicare Psychologist in Cincinnati, OH