Ann Marie Usitalo, PHD in Jacksonville, FL - Medicare Psychologist Provider

Ann Marie Usitalo, PHD is a medicare enrolled "Psychologist" provider in Jacksonville, Florida. Her current practice location is 655 W 8th St, Ufjax - Pediatrics Rainbow Center, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 244-2120.

Ann Marie Usitalo is licensed to practice in Florida (license number PY7309) 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 1114117157.

Contact Information

	Ann Marie Usitalo, PHD
	655 W 8th St, Ufjax - Pediatrics Rainbow Center, Jacksonville, FL 32209-6511
	(904) 244-2120
	(904) 244-5341

Map and Direction

Healthcare Provider's Profile

Full Name	Ann Marie Usitalo
Gender	Female
Speciality	Psychologist
Location	655 W 8th St, Jacksonville, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114117157
Provider Enumeration Date: 07/26/2007
Last Update Date: 05/07/2013

Medicare PECOS Information:

PECOS PAC ID: 5890880025
Enrollment ID: I20071003000556

Medical Identifiers

Medical identifiers for Ann Marie Usitalo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114117157	NPI	-	NPPES
673759339A	Medicaid	GA
005470500	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	PY7309 (Florida)	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. Ann Marie Usitalo allows following entities to bill medicare on her behalf.

Entity Name	University Of Florida Jacksonville Physicians, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144276452 PECOS PAC ID: 9133025869 Enrollment ID: O20040128000786

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. Ann Marie Usitalo 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
Ann Marie Usitalo, PHD Po Box 44008, Ufjp - Provider Enrollment, Jacksonville, FL 32231-4008 Ph: (904) 244-3199	Ann Marie Usitalo, PHD 655 W 8th St, Ufjax - Pediatrics Rainbow Center, Jacksonville, FL 32209-6511 Ph: (904) 244-2120

Reviews and Comments

Psychologist in Jacksonville, FL

Dr. Purnima Kumar, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 5251 Emerson St, Jacksonville, FL 32207 Phone: 904-399-0324 Fax: 904-399-0420
Rebecca Marie Tuttle, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1746 Tiffany Pines Cir W, Jacksonville, FL 32225 Phone: 305-586-6044
Dr. Marisa Victoria Byles, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 12443 San Jose Blvd Ste 202, Jacksonville, FL 32223 Phone: 904-515-3503
Antionette Jarshawn Miller-maultsby, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4401 Will Scarlet Rd, Jacksonville, FL 32208 Phone: 904-352-0066
Dr. Brittany Cannon, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6816 Southpoint Pkwy Ste 202, Jacksonville, FL 32216 Phone: 904-419-7792
Dr. Tanis Jill Ferman, PH.D Psychologist Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000
Dr. Dwight David Hart, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2080 Child St, Jacksonville, FL 32214 Phone: 904-542-3473 Fax: 904-542-7662

Ann Marie Usitalo, PHD - Medicare Psychologist in Jacksonville, FL