Kristin Lynn Mickel, PSYD in Maitland, FL - Medicare Clinical Psychologist Provider

Kristin Lynn Mickel, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Maitland, Florida. She graduated from medical school in 2013 and has 12 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Villar Neuropsychology, Llc and her current practice location is 500 N Maitland Ave, Suite 110, Maitland, Florida. You can reach out to her office (for appointments etc.) via phone at (407) 628-5354.

Kristin Lynn Mickel is licensed to practice in Florida (license number PY9141) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1952703167.

Contact Information

	Kristin Lynn Mickel, PSYD
	500 N Maitland Ave, Suite 110, Maitland, FL 32751-4482
	(407) 628-5354
	(407) 628-0254

Map and Direction

Healthcare Provider's Profile

Full Name	Kristin Lynn Mickel
Gender	Female
Speciality	Clinical Psychologist
Experience	12 Years
Location	500 N Maitland Ave, Maitland, Florida
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kristin Lynn Mickel graduated from medical school in 2013

NPI Data:

NPI Number: 1952703167
Provider Enumeration Date: 09/18/2014
Last Update Date: 09/18/2014

Medicare PECOS Information:

PECOS PAC ID: 4385866342
Enrollment ID: I20141107000903

Medical Identifiers

Medical identifiers for Kristin Lynn Mickel such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952703167	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PY9141 (Florida)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Villar Neuropsychology, Llc	8729396999	2

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. Kristin Lynn Mickel allows following entities to bill medicare on her behalf.

Entity Name	Maitland Psychology Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871775445 PECOS PAC ID: 6406916816 Enrollment ID: O20081114000570

Entity Name	Villar Neuropsychology, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306239553 PECOS PAC ID: 8729396999 Enrollment ID: O20151008000262

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. Kristin Lynn Mickel 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
Kristin Lynn Mickel, PSYD 500 N Maitland Ave, Suite 110, Maitland, FL 32751-4482 Ph: (407) 628-5354	Kristin Lynn Mickel, PSYD 500 N Maitland Ave, Suite 110, Maitland, FL 32751-4482 Ph: (407) 628-5354

Reviews and Comments

Psychologist in Maitland, FL

Ambar Medina, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 414 Lake Howell Rd, Maitland, FL 32751 Phone: 407-637-2633
Dr. Kristin Patrice Girardot, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 500 N Maitland Ave, Suite 110, Maitland, FL 32751 Phone: 407-808-7852
Farah Downs, ED.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 549 N Wymore Rd Ste 107, Maitland, FL 32751 Phone: 407-866-3148
Dr. Jennifer Tickal, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1555 N Maitland Ave, Maitland, FL 32751 Phone: 813-563-5676
Dr. Sophia Adelina Peaco, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 260 Lookout Pl Ste 202, Maitland, FL 32751 Phone: 833-769-3524 Fax: 407-232-9437
Eduardo Ysern, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 331 N Maitland Ave Ste C3, Maitland, FL 32751 Phone: 407-634-3515
Elizabeth Carges, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 500 N Maitland Ave, Suite 110, Maitland, FL 32751 Phone: 407-628-5354 Fax: 407-628-0254

Kristin Lynn Mickel, PSYD - Medicare Psychologist in Maitland, FL