Mindscapes is a medicare enrolled "Psychologist - School" provider in Pickerington, Ohio. Their current practice location is
1241 Hill Rd N, Pickerington, Ohio. You can reach out to their office (for appointments etc.) via phone at
(614) 604-6067.
Mindscapes is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Mindscapes
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 1174161640.
Healthcare Provider's Profile
| Full Name | Mindscapes |
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| Type | Facility |
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| Speciality | Psychologist - School |
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| Location | 1241 Hill Rd N, Pickerington, Ohio |
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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: 1174161640
- Provider Enumeration Date: 12/16/2019
- Last Update Date: 07/03/2020
Medicare PECOS Information:
- PECOS PAC ID: 1052733094
- Enrollment ID: O20200622001555
Medical Identifiers
Medical identifiers for Mindscapes such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174161640 | NPI | - | NPPES |
| 0380208 | Medicaid | OH | |
| 1023631447 | Other | OH | OTPTAT BOARD |
| 1659703676 | Other | OH | PSYCHOLOGY BOARD |
| 1063972362 | Other | OH | SPEECH AND HEARING PROFESSIONALS BOARD |
| 1720497217 | Other | OH | SPEECH AND HEARING PROFESSIONALS BOARD |
| 1851925465 | Other | OH | COTA/L |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| 103TS0200X | Psychologist - School | (* (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.
Mindscapes acts as a billing entity for following providers:
| Provider Name | Kelli Sears |
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| Provider Type | Practitioner - Clinical Psychologist |
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| Provider Identifiers | NPI Number: 1659703676
PECOS PAC ID: 7012345663
Enrollment ID: I20200623001091 |
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| Provider Name | Olivia Tennison |
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| Provider Type | Practitioner - Qualified Speech Language Pathologist |
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| Provider Identifiers | NPI Number: 1063972362
PECOS PAC ID: 1759703648
Enrollment ID: I20200623001236 |
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| Provider Name | Kailey Mcdaniel |
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| Provider Type | Practitioner - Occupational Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1023631447
PECOS PAC ID: 0941622849
Enrollment ID: I20200623001521 |
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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. Mindscapes 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 |
|---|
Mindscapes
1241 Hill Rd N,
Pickerington, OH 43147-7989
Ph: (614) 604-6067 | Mindscapes
1241 Hill Rd N,
Pickerington, OH 43147-7989
Ph: (614) 604-6067 |
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