Michael Pica P.c. is a medicare enrolled "Psychologist" provider in St Charles, Illinois. Their current practice location is
4n701 School Rd Ste A, St Charles, Illinois. You can reach out to their office (for appointments etc.) via phone at
(630) 549-6497.
Michael Pica P.c. is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Michael Pica P.c.
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1730449315.
Healthcare Provider's Profile
| Full Name | Michael Pica P.c. |
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| Type | Facility |
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| Speciality | Psychologist |
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| Location | 4n701 School Rd Ste A, St Charles, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1730449315
- Provider Enumeration Date: 05/17/2012
- Last Update Date: 07/02/2019
Medicare PECOS Information:
- PECOS PAC ID: 1254665847
- Enrollment ID: O20190702001827
Medical Identifiers
Medical identifiers for Michael Pica P.c. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1730449315 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Michael Pica P.c. acts as a billing entity for following providers:
| Provider Name | Michael Pica |
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| Provider Type | Practitioner - Clinical Psychologist |
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| Provider Identifiers | NPI Number: 1356455505
PECOS PAC ID: 3072705151
Enrollment ID: I20101007000621 |
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| Provider Name | Olesia Shalayska |
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| Provider Type | Practitioner - Clinical Psychologist |
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| Provider Identifiers | NPI Number: 1558816371
PECOS PAC ID: 8224324017
Enrollment ID: I20180820002153 |
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| Provider Name | Tanya C Gluzerman |
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| Provider Type | Practitioner - Clinical Psychologist |
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| Provider Identifiers | NPI Number: 1417215831
PECOS PAC ID: 8628302163
Enrollment ID: I20190703000017 |
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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. Michael Pica P.c. 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 |
|---|
Michael Pica P.c.
4n701 School Rd Ste A,
Saint Charles, IL 60175-6508
Ph: (630) 549-6497 | Michael Pica P.c.
4n701 School Rd Ste A,
St Charles, IL 60175-6508
Ph: (630) 549-6497 |
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