Dr Ellen N Emerson, PHD in Statesboro, GA - Medicare Psychologist Provider

Dr Ellen N Emerson, PHD is a medicare enrolled "Psychologist - Clinical" provider in Statesboro, Georgia. Her current practice location is 112 N College St, Statesboro, Georgia. You can reach out to her office (for appointments etc.) via phone at (912) 687-5194.

Dr Ellen N Emerson is licensed to practice in Georgia (license number PSY002041) 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 1225133838.

Contact Information

	Dr Ellen N Emerson, PHD
	112 N College St, Statesboro, GA 30458-5309
	(912) 687-5194
	(912) 681-0834

Healthcare Provider's Profile

Full Name	Dr Ellen N Emerson
Gender	Female
Speciality	Psychologist - Clinical
Location	112 N College St, Statesboro, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225133838
Provider Enumeration Date: 09/14/2006
Last Update Date: 09/01/2015

Medicare PECOS Information:

PECOS PAC ID: 7719985027
Enrollment ID: I20061121000441

Medical Identifiers

Medical identifiers for Dr Ellen N Emerson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225133838	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	MFT 0374 (Nevada)	Secondary
103TC0700X	Psychologist - Clinical	PSY002041 (Georgia)	Primary

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. Dr Ellen N Emerson 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
Dr Ellen N Emerson, PHD 112n College St, Statesboro, GA 30458-5309 Ph: (912) 764-3595	Dr Ellen N Emerson, PHD 112 N College St, Statesboro, GA 30458-5309 Ph: (912) 687-5194

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