Bradley S Mazick, PHD,HSPP in South Bend, IN - Medicare Psychologist Provider

Bradley S Mazick, PHD,HSPP is a medicare enrolled "Psychologist - Clinical" provider in South Bend, Indiana. His current practice location is 1920 Ridgedale Rd, South Bend, Indiana. You can reach out to his office (for appointments etc.) via phone at (574) 231-8000.

Bradley S Mazick is licensed to practice in Indiana (license number 20041080) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1518933779.

Contact Information

	Bradley S Mazick, PHD,HSPP
	1920 Ridgedale Rd, South Bend, IN 46614-2243
	(574) 231-8000
	(574) 231-8013

Map and Direction

Healthcare Provider's Profile

Full Name	Bradley S Mazick
Gender	Male
Speciality	Psychologist - Clinical
Location	1920 Ridgedale Rd, South Bend, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518933779
Provider Enumeration Date: 02/27/2006
Last Update Date: 07/22/2014

Medicare PECOS Information:

PECOS PAC ID: 4789764184
Enrollment ID: I20230314000221

Medical Identifiers

Medical identifiers for Bradley S Mazick such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518933779	NPI	-	NPPES
200200720A	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	20041080 (Indiana)	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. Bradley S Mazick allows following entities to bill medicare on his behalf.

Entity Name	Behavior Services & Therapy, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659555852 PECOS PAC ID: 0648644641 Enrollment ID: O20230314001788

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. Bradley S Mazick 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
Bradley S Mazick, PHD,HSPP 1920 Ridgedale Rd, South Bend, IN 46614-2243 Ph: (574) 231-8000	Bradley S Mazick, PHD,HSPP 1920 Ridgedale Rd, South Bend, IN 46614-2243 Ph: (574) 231-8000

Reviews and Comments

Psychologist in South Bend, IN

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Joann Michelle Jackson, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 403 E Madison St, South Bend, IN 46617 Phone: 574-533-1234 Fax: 574-537-2652

Bradley S Mazick, PHD,HSPP - Medicare Psychologist in South Bend, IN