Dr Michelle Gunderson, PSYD in Hollywood, FL - Medicare Psychologist Provider

Dr Michelle Gunderson, PSYD is a medicare enrolled "Psychologist - Clinical Child & Adolescent" provider in Hollywood, Florida. Her current practice location is 1150 N 35th Ave Ste 525, Hollywood, Florida. You can reach out to her office (for appointments etc.) via phone at (954) 265-6968.

Dr Michelle Gunderson is licensed to practice in Florida (license number PY10630) 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 1720623648.

Contact Information

	Dr Michelle Gunderson, PSYD
	1150 N 35th Ave Ste 525, Hollywood, FL 33021-5431
	(954) 265-6968
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Michelle Gunderson
Gender	Female
Speciality	Psychologist - Clinical Child & Adolescent
Location	1150 N 35th Ave Ste 525, Hollywood, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720623648
Provider Enumeration Date: 11/14/2019
Last Update Date: 05/20/2026

Medicare PECOS Information:

PECOS PAC ID: 0840687836
Enrollment ID: I20220421000638

Medical Identifiers

Medical identifiers for Dr Michelle Gunderson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720623648	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC2200X	Psychologist - Clinical Child & Adolescent	PY10630 (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. Dr Michelle Gunderson allows following entities to bill medicare on her behalf.

Entity Name	South Broward Hospital District
Entity Type	Part B Supplier - Hospital Department(s)
Entity Identifiers	NPI Number: 1013471614 PECOS PAC ID: 8123927373 Enrollment ID: O20191028002239

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 Michelle Gunderson 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 Michelle Gunderson, PSYD 1150 N 35th Ave Ste 525, Hollywood, FL 33021-5431 Ph: (954) 265-6968	Dr Michelle Gunderson, PSYD 1150 N 35th Ave Ste 525, Hollywood, FL 33021-5431 Ph: (954) 265-6968

Reviews and Comments

Psychologist in Hollywood, FL

Dr. Lauren K. Grodin, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 1150 N 35th Ave Ste 525, Hollywood, FL 33021 Phone: 954-265-6966 Fax: 954-265-6950
Dr. Jennifer Ruth Fulmer, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10000 Stirling Rd, Suite 6, Hollywood, FL 33024 Phone: 954-436-8326 Fax: 954-433-0603
Mrs. Tiffany Griffin, ED.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7821 Raleigh St, Hollywood, FL 33024 Phone: 301-788-2278
Dr. Michelle Renee Hintz, PSYD, MT-BC Psychologist Medicare: Not Enrolled in Medicare Practice Location: 450 N Park Rd, Suite 400, Hollywood, FL 33021 Phone: 954-925-3191 Fax: 954-925-3193
Dr. Marcelle (marcy) Girolamini-smith, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3501 Johnson St, Psychological Services, Hollywood, FL 33021 Phone: 954-265-4298
Dr. Suzanne Mignone, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3860 Sheridan St, Suite A, Hollywood, FL 33021 Phone: 954-322-0348 Fax: 954-322-0397
Ami Kuttler, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4600 Sheridan St Ste 400, Hollywood, FL 33021 Phone: 954-881-1211 Fax: 954-983-8307

Dr Michelle Gunderson, PSYD - Medicare Psychologist in Hollywood, FL