Dr Michael John Credidio, PSY D in Newnan, GA - Medicare Psychologist Provider

Dr Michael John Credidio, PSY D is a medicare enrolled "Psychologist" provider in Newnan, Georgia. His current practice location is 2 Lee Street, Suite A, Newnan, Georgia. You can reach out to his office (for appointments etc.) via phone at (678) 326-4488.

Dr Michael John Credidio is licensed to practice in Georgia (license number PSY002670) 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 1669536405.

Contact Information

	Dr Michael John Credidio, PSY D
	2 Lee Street, Suite A, Newnan, GA 30263-7508
	(678) 326-4488
	(678) 669-2693

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Michael John Credidio
Gender	Male
Speciality	Psychologist
Location	2 Lee Street, Newnan, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1669536405
Provider Enumeration Date: 12/19/2006
Last Update Date: 04/02/2014

Medicare PECOS Information:

PECOS PAC ID: 9436505567
Enrollment ID: I20231026001388

Medical Identifiers

Medical identifiers for Dr Michael John Credidio such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669536405	NPI	-	NPPES
281868610A	Medicaid	GA
281868610C	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	PSY002670 (Georgia)	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. Dr Michael John Credidio allows following entities to bill medicare on his behalf.

Entity Name	Personal Recovery Network Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881990869 PECOS PAC ID: 5092611384 Enrollment ID: O20120110000096

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. Dr Michael John Credidio 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
Dr Michael John Credidio, PSY D 2 Lee St, Suite A, Newnan, GA 30263-1915 Ph: (678) 326-4488	Dr Michael John Credidio, PSY D 2 Lee Street, Suite A, Newnan, GA 30263-7508 Ph: (678) 326-4488

Reviews and Comments

Psychologist in Newnan, GA

Dr. Thomas Smith Freeman, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 121 Jackson St, Newnan, GA 30263 Phone: 770-251-5873 Fax: 770-304-2201
Amanda Mcclure Hannon, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 55 Jefferson Pkwy Bldg A, Newnan, GA 30263 Phone: 470-869-0628
Dr. Daniel S. Kirschenbaum, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1665 Highway 34 E, Ste 100, Newnan, GA 30265 Phone: 770-514-6760
Dr. Mikala Anne Legako, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 83 Bailey Dr, Newnan, GA 30263 Phone: 678-314-7469
Janet Gaffney, PSY. D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 121 Jackson St, Newnan, GA 30263 Phone: 770-251-5873 Fax: 770-304-2201
Dr. Sandra Wilson, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 121 Jackson St, Newnan, GA 30263 Phone: 770-251-5873

Dr Michael John Credidio, PSY D - Medicare Psychologist in Newnan, GA