Dr Michael Summerlin, PHD is a medicare enrolled "Psychologist - Clinical" provider in Orange, California. He graduated from healthcare school in 2009 and has 15 years of diverse experience with area of expertise as Clinical Psychologist. His current practice location is
1940 W Orangewood Ave, Ste. 105, Orange, California. You can reach out to his office (for appointments etc.) via phone at
(714) 494-1867.
Dr Michael Summerlin is licensed to practice in California (license number PSY28000) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1083745152.
Healthcare Provider's Profile
Full Name | Dr Michael Summerlin |
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Gender | Male |
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Speciality | Clinical Psychologist |
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Experience | 15 Years |
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Location | 1940 W Orangewood Ave, Orange, California |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Michael Summerlin graduated from medical school in 2009
NPI Data:
- NPI Number: 1083745152
- Provider Enumeration Date: 03/08/2007
- Last Update Date: 06/07/2016
Medicare PECOS Information:
- PECOS PAC ID: 0244514966
- Enrollment ID: I20170224001010
Medical Identifiers
Medical identifiers for Dr Michael Summerlin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1083745152 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | 43233 (California) | Secondary |
103TC0700X | Psychologist - Clinical | PSY28000 (California) | 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 Michael Summerlin allows following entities to bill medicare on his behalf.
Entity Name | Michael Wesley Summerlin Ph.d. Ek Psych |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1932450889 PECOS PAC ID: 7810258399 Enrollment ID: O20180223002258 |
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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 Michael Summerlin 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 Michael Summerlin, PHD 1940 W Orangewood Ave, Ste. 105, Orange, CA 92868-2009 Ph: (714) 494-1867 | Dr Michael Summerlin, PHD 1940 W Orangewood Ave, Ste. 105, Orange, CA 92868-2009 Ph: (714) 494-1867 |
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