Dr Miranda Icart, PSYD in Warwick, RI - Medicare Psychologist Provider

Dr Miranda Icart, PSYD is a medicare enrolled "Psychologist" provider in Warwick, Rhode Island. Her current practice location is 400 Bald Hill Rd, Warwick, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 349-3131.

Dr Miranda Icart is licensed to practice in Rhode Island (license number PS01871) 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 1497363105.

Contact Information

	Dr Miranda Icart, PSYD
	400 Bald Hill Rd, Warwick, RI 02886-1617
	(401) 349-3131
	(401) 921-5109

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Miranda Icart
Gender	Female
Speciality	Psychologist
Location	400 Bald Hill Rd, Warwick, Rhode Island
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497363105
Provider Enumeration Date: 07/20/2020
Last Update Date: 08/01/2025

Medicare PECOS Information:

PECOS PAC ID: 1658802723
Enrollment ID: I20240930002904

Medical Identifiers

Medical identifiers for Dr Miranda Icart such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497363105	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	PS01871 (Rhode Island)	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 Miranda Icart allows following entities to bill medicare on her behalf.

Entity Name	Child And Family Psychiatry, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760863229 PECOS PAC ID: 5294173464 Enrollment ID: O20240406000126

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 Miranda Icart 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 Miranda Icart, PSYD 76 Webb Ave, Warwick, RI 02889-4628 Ph: (401) 529-3336	Dr Miranda Icart, PSYD 400 Bald Hill Rd, Warwick, RI 02886-1617 Ph: (401) 349-3131

Reviews and Comments

Psychologist in Warwick, RI

Dr. Norman Charles Dupont, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 26 Janet Drive, Warwick, RI 02886 Phone: 401-738-1945
Dr. Rosanne M Lowe, PH. D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 615 Jefferson Blvd, Suite B 105, Warwick, RI 02886 Phone: 401-738-6865 Fax: 401-738-1621
Dr. Tonya Lynn Latzman, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 400 Bald Hill Rd Ste 530, Warwick, RI 02886 Phone: 401-349-3131
Mrs. Tara Mabel Brannon Bogs, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 400 Bald Hill Rd, Suite 517, Warwick, RI 02886 Phone: 401-732-1500
Dr. Elena Monarch, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 889 Centerville Rd, Warwick, RI 02886 Phone: 401-821-4100 Fax: 401-823-9180
Amber Champagne, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 400 Bald Hill Rd, Warwick, RI 02886 Phone: 401-349-3131
Mr. Sean David Carmichael, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1035 Post Rd, Warwick, RI 02888 Phone: 401-785-0040 Fax: 401-941-7847

Dr Miranda Icart, PSYD - Medicare Psychologist in Warwick, RI