Mary Mirro, PSYD in Crown Point, IN - Medicare Clinical Psychologist Provider

Mary Mirro, PSYD is a medicare enrolled "Psychologist" provider in Crown Point, Indiana. She graduated from medical school in 2003 and has 21 years of diverse experience with area of expertise as Clinical Psychologist. Her current practice location is 1024 Sterling Ct, Crown Point, Indiana. You can reach out to her office (for appointments etc.) via phone at (219) 805-7407.

Mary Mirro is licensed to practice in Indiana (license number 20041970A) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1407857972.

Contact Information

	Mary Mirro, PSYD
	1024 Sterling Ct, Crown Point, IN 46307-2686
	(219) 805-7407
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mary Mirro
Gender	Female
Speciality	Clinical Psychologist
Experience	21 Years
Location	1024 Sterling Ct, Crown Point, Indiana
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mary Mirro graduated from medical school in 2003

NPI Data:

NPI Number: 1407857972
Provider Enumeration Date: 08/09/2005
Last Update Date: 12/21/2022

Medicare PECOS Information:

PECOS PAC ID: 8325024086
Enrollment ID: I20050926000946

Medical Identifiers

Medical identifiers for Mary Mirro such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407857972	NPI	-	NPPES
200529940	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	20041970A (Indiana)	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. Mary Mirro allows following entities to bill medicare on her behalf.

Entity Name	Mary Mirro, Psy. D., Hspp, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114059953 PECOS PAC ID: 7012009376 Enrollment ID: O20070816000726

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. Mary Mirro 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
Mary Mirro, PSYD 1024 Sterling Ct, Crown Point, IN 46307-2686 Ph: (219) 805-7407	Mary Mirro, PSYD 1024 Sterling Ct, Crown Point, IN 46307-2686 Ph: (219) 805-7407

Reviews and Comments

Psychologist in Crown Point, IN

Adamantia Dina Leftakis, ED.S Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1115 Ziegfield Ct, Crown Point, IN 46307 Phone: 219-308-2454
Dr. Alexander C. Kristevski, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 9330 S Broadway, Abj-va Outpatient Clinic, Crown Point, IN 46307 Phone: 219-662-5098
Robin Christian Shear, PH.D., HSPP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2100 N Main St Ste 304, Crown Point, IN 46307 Phone: 574-546-1900 Fax: 574-546-1999
Jonathan Royce Vandervlugt, LMHCA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 9614 Granada Ct Apt 111, Crown Point, IN 46307 Phone: 773-732-1155
Dr. Victoria Colanese, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2100 N Main St Ste 304, Crown Point, IN 46307 Phone: 574-546-1900
James Fenstermacher, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2100 N Main St Ste 304, Crown Point, IN 46307 Phone: 574-546-1900 Fax: 574-546-1999
Miceal C. Rooney, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6685 E 117th Ave, Crown Point, IN 46307 Phone: 219-662-0642

Mary Mirro, PSYD - Medicare Psychologist in Crown Point, IN