Michael Angelo Travisano, BA, MS, PSYD - Medicare Psychologist in Columbia, SC

Michael Angelo Travisano, BA, MS, PSYD is a medicare enrolled "Psychologist" provider in Columbia, South Carolina. His current practice location is 1024 Wildwood Centre Dr Ste A, Columbia, South Carolina. You can reach out to his office (for appointments etc.) via phone at (803) 781-4265.

Michael Angelo Travisano is licensed to practice in South Carolina (license number 1780) 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 1588285159.

Contact Information

Michael Angelo Travisano, BA, MS, PSYD
1024 Wildwood Centre Dr Ste A,
Columbia, SC 29229-8400
(803) 781-4265
(803) 781-7300

Map and Direction




Healthcare Provider's Profile

Full NameMichael Angelo Travisano
GenderMale
SpecialityPsychologist
Location1024 Wildwood Centre Dr Ste A, Columbia, South Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1588285159
  • Provider Enumeration Date: 05/05/2020
  • Last Update Date: 03/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5193177194
  • Enrollment ID: I20240116000278

Medical Identifiers

Medical identifiers for Michael Angelo Travisano such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588285159NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist 1780 (South Carolina)Primary

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. Michael Angelo Travisano 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 AddressPractice Location Address
Michael Angelo Travisano, BA, MS, PSYD
1024 Wildwood Centre Dr,
Columbia, SC 29229-8400

Ph: (803) 781-4265
Michael Angelo Travisano, BA, MS, PSYD
1024 Wildwood Centre Dr Ste A,
Columbia, SC 29229-8400

Ph: (803) 781-4265

Reviews and Comments


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