Sarah Elizabeth Wellman, PSYD is a medicare enrolled "Psychologist" provider in Goodlettsville, Tennessee. Her current practice location is
104 Wilt Ct, Goodlettsville, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(502) 855-9745.
Sarah Elizabeth Wellman is licensed to practice in Tennessee (license number 3508) 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 1306170410.
Healthcare Provider's Profile
| Full Name | Sarah Elizabeth Wellman |
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| Gender | Female |
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| Speciality | Psychologist |
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| Location | 104 Wilt Ct, Goodlettsville, Tennessee |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1306170410
- Provider Enumeration Date: 09/22/2009
- Last Update Date: 02/15/2024
Medicare PECOS Information:
- PECOS PAC ID: 0840411021
- Enrollment ID: I20171206002755
Medical Identifiers
Medical identifiers for Sarah Elizabeth Wellman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306170410 | NPI | - | NPPES |
| 1306170410 | Medicaid | TN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | PSYLIP00211375 (Kentucky) | Secondary |
| 103T00000X | Psychologist | 3508 (Tennessee) | 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. Sarah Elizabeth Wellman allows following entities to bill medicare on her behalf.
| Entity Name | Nv Pacs 2 Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1427534809
PECOS PAC ID: 0941550578
Enrollment ID: O20210903001263 |
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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. Sarah Elizabeth Wellman 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 |
|---|
Sarah Elizabeth Wellman, PSYD
Po Box 614,
Hopkinsville, KY 42241-0614
Ph: (270) 886-2205 | Sarah Elizabeth Wellman, PSYD
104 Wilt Ct,
Goodlettsville, TN 37072-7080
Ph: (502) 855-9745 |
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