Dr Michael Reyes Medrano, PHD in Surprise, AZ - Medicare Psychologist Provider

Dr Michael Reyes Medrano, PHD is a medicare enrolled "Psychologist - Clinical" provider in Surprise, Arizona. His current practice location is 17014 W Bell Rd Ste 100, Surprise, Arizona. You can reach out to his office (for appointments etc.) via phone at (623) 866-4484.

Dr Michael Reyes Medrano is licensed to practice in Arizona (license number PSY-005525) 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 1386382372.

Contact Information

	Dr Michael Reyes Medrano, PHD
	17014 W Bell Rd Ste 100, Surprise, AZ 85374-2479
	(623) 866-4484
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Michael Reyes Medrano
Gender	Male
Speciality	Psychologist - Clinical
Location	17014 W Bell Rd Ste 100, Surprise, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1386382372
Provider Enumeration Date: 05/20/2022
Last Update Date: 07/25/2022

Medicare PECOS Information:

PECOS PAC ID: 7214318823
Enrollment ID: I20220713003566

Medical Identifiers

Medical identifiers for Dr Michael Reyes Medrano such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386382372	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PSY-005525 (Arizona)	Primary
103TC0700X	Psychologist - Clinical	PSY-2022-0046 (New Mexico)	Secondary

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 Reyes Medrano allows following entities to bill medicare on his behalf.

Entity Name	Iora Senior Health, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619376456 PECOS PAC ID: 0143520189 Enrollment ID: O20151124001666

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 Reyes Medrano 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 Reyes Medrano, PHD 1 Lincoln St Fl 24, Boston, MA 02111-2901 Ph: (617) 454-4672	Dr Michael Reyes Medrano, PHD 17014 W Bell Rd Ste 100, Surprise, AZ 85374-2479 Ph: (623) 866-4484

Reviews and Comments

Psychologist in Surprise, AZ

James A Leroy, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 12425 W Bell Rd, Suite 200, Surprise, AZ 85378 Phone: 623-374-7774 Fax: 623-240-1110
Jennifer Hargrave, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 15802 N Parkview Pl, Surprise, AZ 85374 Phone: 623-876-7022
Mrs. Marni Marie Lahti, MA, MSE Psychologist Medicare: Not Enrolled in Medicare Practice Location: 15802 North Parkview Place, Surprise, AZ 85374 Phone: 623-876-7022
Dr. Alicja Stewart, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 14780 W. Mountain View Blvd., Suite 110, Surprise, AZ 85374 Phone: 623-374-7774
Ms. Lauren Heather Richins, ED.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 15802 N Parkview Pl, Surprise, AZ 85374 Phone: 623-876-7000
Dr. Mary Kay Cragan, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 16913 W Dale Ln, Surprise, AZ 85387 Phone: 623-584-8392
Dr. Sherrie Lee Somershoe, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 13985 W Grand Ave, Surprise, AZ 85374 Phone: 623-340-4249

Dr Michael Reyes Medrano, PHD - Medicare Psychologist in Surprise, AZ