Mikle South, PHD in Decatur, GA - Medicare Psychologist Provider

Mikle South, PHD is a medicare enrolled "Psychologist - Clinical" provider in Decatur, Georgia. His current practice location is 1551 Shoup Ct, Decatur, Georgia. You can reach out to his office (for appointments etc.) via phone at (404) 727-8350.

Mikle South is licensed to practice in Utah (license number 6841090-2501) 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 1306198262.

Contact Information

	Mikle South, PHD
	1551 Shoup Ct, Decatur, GA 30033-4607
	(404) 727-8350
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mikle South
Gender	Male
Speciality	Psychologist - Clinical
Location	1551 Shoup Ct, Decatur, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306198262
Provider Enumeration Date: 10/02/2012
Last Update Date: 02/21/2022

Medicare PECOS Information:

PECOS PAC ID: 2769850155
Enrollment ID: I20221115003417

Medical Identifiers

Medical identifiers for Mikle South such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306198262	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	6841090-2501 (Utah)	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. Mikle South allows following entities to bill medicare on his behalf.

Entity Name	The Emory Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396798229 PECOS PAC ID: 8820901408 Enrollment ID: O20031110000503

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. Mikle South 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
Mikle South, PHD 1551 Shoup Ct, Decatur, GA 30033-4607 Ph: (404) 727-8350	Mikle South, PHD 1551 Shoup Ct, Decatur, GA 30033-4607 Ph: (404) 727-8350

Reviews and Comments

Psychologist in Decatur, GA

Dr. Emily Brockett Jackson, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1670 Clairmont Road, Atlanta Va Medical Center, Decatur, GA 30033 Phone: 404-429-0419
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Dr. Lisa Anyan Smith, PH. D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1945 Mason Mill Rd, Suite 100, Decatur, GA 30033 Phone: 404-215-0107 Fax: 404-321-4887
Dr. Libby Rose Tannenbaum, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2440 Lawrenceville Hwy, Suite 200, Decatur, GA 30033 Phone: 404-634-3400 Fax: 404-634-3482
Michelle Casimir, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1670 Clairmont Rd, Decatur, GA 30033 Phone: 404-321-6111
Dr. Catherine Gray Deering, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: Atlanta Va Medical Center, 1670 Clairmont Ave., Decatur, GA 30033 Phone: 404-321-6983
Dr. Lissa Davis Tchernis, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 108 E Ponce De Leon Ave, 208, Decatur, GA 30030 Phone: 678-827-2760 Fax: 678-318-1730

Mikle South, PHD - Medicare Psychologist in Decatur, GA