Olivia Summa, MA is a medicare enrolled "Psychologist" provider in Newark, Ohio. She graduated from healthcare school in 2022 and has 3 years of diverse experience with area of expertise as Clinical Psychologist. Her current practice location is
68 W Church St Ste 318, Newark, Ohio. You can reach out to her office (for appointments etc.) via phone at
(505) 699-8962.
Olivia Summa is licensed to practice in Ohio (license number P.08638) 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 1538774880.
Healthcare Provider's Profile
| Full Name | Olivia Summa |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 3 Years |
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| Location | 68 W Church St Ste 318, Newark, Ohio |
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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:
- Olivia Summa graduated from medical school in 2022
NPI Data:
- NPI Number: 1538774880
- Provider Enumeration Date: 09/14/2020
- Last Update Date: 06/17/2024
Medicare PECOS Information:
- PECOS PAC ID: 6507206190
- Enrollment ID: I20240430002383
Medical Identifiers
Medical identifiers for Olivia Summa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1538774880 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | P.08638 (Ohio) | 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. Olivia Summa allows following entities to bill medicare on her behalf.
| Entity Name | Copper Cloud Psychotherapy Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1689451098
PECOS PAC ID: 9032559612
Enrollment ID: O20240430001379 |
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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. Olivia Summa 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 |
|---|
Olivia Summa, MA
3304 James St,
Santa Fe, NM 87507-5019
Ph: (505) 699-8962 | Olivia Summa, MA
68 W Church St Ste 318,
Newark, OH 43055-5050
Ph: (505) 699-8962 |
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