Dr Phyllis M Florian, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Kalamazoo, Michigan. Her current practice location is
1409 Cherokee St, Kalamazoo, Michigan. You can reach out to her office (for appointments etc.) via phone at
(269) 352-7922.
Dr Phyllis M Florian is licensed to practice in Michigan (license number 6301016014) 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 1023238623.
Healthcare Provider's Profile
| Full Name | Dr Phyllis M Florian |
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| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 1409 Cherokee St, Kalamazoo, Michigan |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1023238623
- Provider Enumeration Date: 04/26/2007
- Last Update Date: 05/27/2021
Medicare PECOS Information:
- PECOS PAC ID: 1951691278
- Enrollment ID: I20160527000978
Medical Identifiers
Medical identifiers for Dr Phyllis M Florian such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1023238623 | NPI | - | NPPES |
| 6301016014 | Other | MI | DOCTORAL LICENSE IN PSYCHOLOGY |
| 6301012839 | Other | MI | MICHIGAN STATE DEPT. OF LICENSING AND REGULATORY AFFAIRS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP1600X | Counselor - Pastoral | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | 6301016014 (Michigan) | 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 Phyllis M Florian allows following entities to bill medicare on her behalf.
| Entity Name | Prospicare Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1972041648
PECOS PAC ID: 4486939162
Enrollment ID: O20170320001941 |
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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 Phyllis M Florian 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 Phyllis M Florian, PSYD
1409 Cherokee St,
Kalamazoo, MI 49006-2015
Ph: (269) 352-7922 | Dr Phyllis M Florian, PSYD
1409 Cherokee St,
Kalamazoo, MI 49006-2015
Ph: (269) 352-7922 |
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