Dr Tracy Adell Neal-walden, PHD in Edwards, CA - Medicare Psychologist Provider

Dr Tracy Adell Neal-walden, PHD is a medicare enrolled "Psychologist - Health" provider in Edwards, California. Her current practice location is 30 Nightingale Rd, Mdos/cc, Edwards, California. You can reach out to her office (for appointments etc.) via phone at (661) 277-2183.

Dr Tracy Adell Neal-walden is licensed to practice in Mississippi (license number 35-580) 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 1962612762.

Contact Information

	Dr Tracy Adell Neal-walden, PHD
	30 Nightingale Rd, Mdos/cc, Edwards, CA 93524-0001
	(661) 277-2183
	Not Available

Healthcare Provider's Profile

Full Name	Dr Tracy Adell Neal-walden
Gender	Female
Speciality	Psychologist - Health
Location	30 Nightingale Rd, Edwards, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962612762
Provider Enumeration Date: 05/23/2007
Last Update Date: 02/16/2012

Medicare PECOS Information:

PECOS PAC ID: 4688834914
Enrollment ID: I20120323000554

Medical Identifiers

Medical identifiers for Dr Tracy Adell Neal-walden such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962612762	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TH0004X	Psychologist - Health	35-580 (Mississippi)	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 Tracy Adell Neal-walden 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 Tracy Adell Neal-walden, PHD 1256 Lupine Cir, Edwards, CA 93523-2416 Ph: (210) 324-7398	Dr Tracy Adell Neal-walden, PHD 30 Nightingale Rd, Mdos/cc, Edwards, CA 93524-0001 Ph: (661) 277-2183

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Dr Tracy Adell Neal-walden, PHD - Medicare Psychologist in Edwards, CA