Taban Salem, PHD in Ridgeland, MS - Medicare Psychologist Provider

Taban Salem, PHD is a medicare enrolled "Psychologist - Clinical" provider in Ridgeland, Mississippi. Her current practice location is 241 Sunnybrook Rd, Ridgeland, Mississippi. You can reach out to her office (for appointments etc.) via phone at (769) 231-9414.

Taban Salem is licensed to practice in Mississippi (license number 611103) 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 1366190423.

Contact Information

	Taban Salem, PHD
	241 Sunnybrook Rd, Ridgeland, MS 39157-2206
	(769) 231-9414
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Taban Salem
Gender	Female
Speciality	Psychologist - Clinical
Location	241 Sunnybrook Rd, Ridgeland, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366190423
Provider Enumeration Date: 03/16/2022
Last Update Date: 11/19/2024

Medicare PECOS Information:

PECOS PAC ID: 1456889245
Enrollment ID: I20250107002461

Medical Identifiers

Medical identifiers for Taban Salem such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366190423	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	611103 (Mississippi)	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. Taban Salem allows following entities to bill medicare on her behalf.

Entity Name	Killebrew Psychological Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073988051 PECOS PAC ID: 8426330226 Enrollment ID: O20170130002648

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. Taban Salem 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
Taban Salem, PHD 3912 Greaves St, Jackson, MS 39206-5711 Ph: (636) 544-4472	Taban Salem, PHD 241 Sunnybrook Rd, Ridgeland, MS 39157-2206 Ph: (769) 231-9414

Reviews and Comments

Psychologist in Ridgeland, MS

Dr. Teresa Hulsey, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 14 Professional Pkwy, Ridgeland, MS 39157 Phone: 817-404-2192
Dr. Nancy N Horton, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 210 W Jackson St, Ridgeland, MS 39157 Phone: 601-672-3841 Fax: 601-707-7292
Dr. Tonia Taylor, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1828 Lincolnshire Blvd, Ridgeland, MS 39157 Phone: 601-956-8465
Brenda Diane Akporoguafe, LMT Psychologist Medicare: Not Enrolled in Medicare Practice Location: 210 W Jackson St, Ridgeland, MS 39157 Phone: 337-600-8623
Alyssa Ellis Killebrew, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 241 Sunnybrook Rd, Ridgeland, MS 39157 Phone: 601-624-5912
Teresa Elias Hooper, PSY.D.,LTD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 730 Avignon Dr Ste 102, Ridgeland, MS 39157 Phone: 601-856-0582

Taban Salem, PHD - Medicare Psychologist in Ridgeland, MS