Dr John Michael Halloran, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Brattleboro, Vermont. He graduated from healthcare school in 2017 and has 7 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Brattleboro Retreat and his current practice location is
53 Fairview St, Brattleboro, Vermont. You can reach out to his office (for appointments etc.) via phone at
(802) 251-8455.
Dr John Michael Halloran is licensed to practice in Vermont (license number 048.0134205) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1336628056.
Healthcare Provider's Profile
| Full Name | Dr John Michael Halloran |
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| Gender | Male |
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| Speciality | Clinical Psychologist |
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| Experience | 7 Years |
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| Location | 53 Fairview St, Brattleboro, Vermont |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr John Michael Halloran graduated from medical school in 2017
NPI Data:
- NPI Number: 1336628056
- Provider Enumeration Date: 08/13/2018
- Last Update Date: 01/27/2022
Medicare PECOS Information:
- PECOS PAC ID: 4284063165
- Enrollment ID: I20200327000954
Medical Identifiers
Medical identifiers for Dr John Michael Halloran such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336628056 | NPI | - | NPPES |
| 3121573 | Medicaid | NH | |
| 6705758 | Medicaid | VT | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 151.0134063 (Vermont) | Secondary |
| 103TC0700X | Psychologist - Clinical | 048.0134205 (Vermont) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Brattleboro Retreat | 7012828908 | 51 |
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 John Michael Halloran allows following entities to bill medicare on his behalf.
| Entity Name | Brattleboro Retreat |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1730185232
PECOS PAC ID: 7012828908
Enrollment ID: O20041123000627 |
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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 John Michael Halloran 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 |
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Dr John Michael Halloran, PSYD
53 Fairview St,
Brattleboro, VT 05301-6630
Ph: (802) 251-8455 | Dr John Michael Halloran, PSYD
53 Fairview St,
Brattleboro, VT 05301-6630
Ph: (802) 251-8455 |
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