Mitchell James Vansumeren, PSYD - Medicare Psychologist in Indianapolis, IN

Mitchell James Vansumeren, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Indianapolis, Indiana. His current practice location is 10291 N Meridian St Ste 310, Indianapolis, Indiana. You can reach out to his office (for appointments etc.) via phone at (317) 672-1970.

Mitchell James Vansumeren is licensed to practice in Indiana (license number 20043294A) 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 1023534815.

Contact Information

Mitchell James Vansumeren, PSYD
10291 N Meridian St Ste 310,
Indianapolis, IN 46290
(317) 672-1970
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMitchell James Vansumeren
GenderMale
SpecialityPsychologist - Clinical
Location10291 N Meridian St Ste 310, Indianapolis, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1023534815
  • Provider Enumeration Date: 08/14/2017
  • Last Update Date: 09/27/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 7810229051
  • Enrollment ID: I20191021003388

Medical Identifiers

Medical identifiers for Mitchell James Vansumeren such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023534815NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 20043294A (Indiana)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. Mitchell James Vansumeren allows following entities to bill medicare on his behalf.
Entity NameBrain Performance Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013319656
PECOS PAC ID: 3274755814
Enrollment ID: O20141114000146

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. Mitchell James Vansumeren 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
Mitchell James Vansumeren, PSYD
10291 N Meridian St Ste 310,
Indianapolis, IN 46290-1083

Ph: (317) 672-1970
Mitchell James Vansumeren, PSYD
10291 N Meridian St Ste 310,
Indianapolis, IN 46290

Ph: (317) 672-1970

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.