Dr Ralph Henry Louis Jr, PHD - Medicare Psychologist in Basin, WY

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Dr Ralph Henry Louis Jr, PHD is a medicare enrolled "Psychologist - Clinical" provider in Basin, Wyoming. His current practice location is 116 South 3rd Street, Basin, Wyoming. You can reach out to his office (for appointments etc.) via phone at (307) 568-2020.

Dr Ralph Henry Louis Jr is licensed to practice in Wyoming (license number 234) 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 1225256027.

Contact Information

Dr Ralph Henry Louis Jr, PHD
116 South 3rd Street,
Basin, WY 82410
(307) 568-2020
(307) 568-2503



Healthcare Provider's Profile

Full NameDr Ralph Henry Louis Jr
GenderMale
SpecialityPsychologist - Clinical
Location116 South 3rd Street, Basin, Wyoming
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1225256027
  • Provider Enumeration Date: 04/24/2007
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 3779926985
  • Enrollment ID: I20240205002674

Medical Identifiers

Medical identifiers for Dr Ralph Henry Louis Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225256027NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 234 (Wyoming)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. Dr Ralph Henry Louis Jr allows following entities to bill medicare on his behalf.
Entity NameCloud Peak Counseling Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861577140
PECOS PAC ID: 3476659699
Enrollment ID: O20160725001670

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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. Dr Ralph Henry Louis Jr 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 AddressPractice Location Address
Dr Ralph Henry Louis Jr, PHD
3305 Road 27,
Greybull, WY 82426-9750

Ph: (307) 654-2209		Dr Ralph Henry Louis Jr, PHD
116 South 3rd Street,
Basin, WY 82410

Ph: (307) 568-2020

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Psychologist in Basin, WY


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