Elise Middleton, is a medicare enrolled "Psychologist" provider in Richmond, California. She graduated from healthcare school in 2015 and has 11 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Mark David Levine Md Professional Corporation and her current practice location is
4101 Macdonald Ave, Richmond, California. You can reach out to her office (for appointments etc.) via phone at
(510) 412-9200.
Elise Middleton is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1619377611.
Healthcare Provider's Profile
| Full Name | Elise Middleton |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 11 Years |
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| Location | 4101 Macdonald Ave, Richmond, California |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Elise Middleton graduated from medical school in 2015
NPI Data:
- NPI Number: 1619377611
- Provider Enumeration Date: 08/26/2014
- Last Update Date: 08/18/2016
Medicare PECOS Information:
- PECOS PAC ID: 9133657703
- Enrollment ID: I20250109002742
Medical Identifiers
Medical identifiers for Elise Middleton such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619377611 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YS0200X | Counselor - School | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Mark David Levine Md Professional Corporation | 0143478305 | 106 |
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. Elise Middleton allows following entities to bill medicare on her behalf.
| Entity Name | Mark David Levine Md Professional Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154697944
PECOS PAC ID: 0143478305
Enrollment ID: O20120912000548 |
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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. Elise Middleton 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 |
|---|
Elise Middleton,
4101 Macdonald Ave,
Richmond, CA 94805-2333
Ph: (510) 412-9200 | Elise Middleton,
4101 Macdonald Ave,
Richmond, CA 94805-2333
Ph: (510) 412-9200 |
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