Dr Lothar Engelbert Mader, PHD in Roseville, CA - Medicare Psychologist Provider

Dr Lothar Engelbert Mader, PHD is a medicare enrolled "Psychologist" provider in Roseville, California. His current practice location is 2130 Professional Dr, Suite 240, Roseville, California. You can reach out to his office (for appointments etc.) via phone at (916) 782-2100.

Dr Lothar Engelbert Mader is licensed to practice in California (license number PSY8474) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1063400422.

Contact Information

	Dr Lothar Engelbert Mader, PHD
	2130 Professional Dr, Suite 240, Roseville, CA 95661-3738
	(916) 782-2100
	(916) 624-0701

Healthcare Provider's Profile

Full Name	Dr Lothar Engelbert Mader
Gender	Male
Speciality	Psychologist
Location	2130 Professional Dr, Roseville, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063400422
Provider Enumeration Date: 10/10/2005
Last Update Date: 11/02/2007

Medicare PECOS Information:

PECOS PAC ID: 5193718930
Enrollment ID: I20040406001790

Medical Identifiers

Medical identifiers for Dr Lothar Engelbert Mader such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063400422	NPI	-	NPPES
7366414	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	PSY8474 (California)	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 Lothar Engelbert Mader 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 Lothar Engelbert Mader, PHD 2130 Professional Dr, Suite 240, Roseville, CA 95661-3738 Ph: (916) 782-2100	Dr Lothar Engelbert Mader, PHD 2130 Professional Dr, Suite 240, Roseville, CA 95661-3738 Ph: (916) 782-2100

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Psychologist in Roseville, CA

Dr. Kenneth Alan Logan, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1891 E Roseville Pkwy, Suite 100, Roseville, CA 95661 Phone: 916-789-7082 Fax: 916-797-8840
Dr. David Zuccolotto, PSYCHOLOGIST Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2110 Professional Dr, Suite 120, Roseville, CA 95661 Phone: 916-536-2500
Olivia Rold, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2330 Professional Dr Ste 100, Roseville, CA 95661 Phone: 279-201-9612
Dr. Michael A. Molyn, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: Valley Psychological Center, 1891 E. Roseville Parkway, Suite 100, Roseville, CA 95661 Phone: 916-870-4484
Miss Michelle Marie Cox, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2412 Professional Dr, Roseville, CA 95661 Phone: 858-361-1372
Dr. Heather Jane Forde, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 970 Reserve Dr Ste 205, Roseville, CA 95678 Phone: 916-780-1070
Diane J Huisinga, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 729 Sunrise Ave Ste 101, Roseville, CA 95661 Phone: 916-771-7852 Fax: 530-622-2793

Dr Lothar Engelbert Mader, PHD - Medicare Psychologist in Roseville, CA