Michelle L Constantino, is a medicare enrolled "Psychologist" provider in Charlotte, North Carolina. Her current practice location is
325 Hawthorne Ln Ste 100, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(704) 316-7760.
Michelle L Constantino is licensed to practice in North Carolina (license number 4982) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1467740407.
Healthcare Provider's Profile
Full Name | Michelle L Constantino |
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Gender | Female |
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Speciality | Psychologist |
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Location | 325 Hawthorne Ln Ste 100, Charlotte, North Carolina |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1467740407
- Provider Enumeration Date: 07/12/2011
- Last Update Date: 10/28/2020
Medicare PECOS Information:
- PECOS PAC ID: 6204157928
- Enrollment ID: I20150608000146
Medical Identifiers
Medical identifiers for Michelle L Constantino such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1467740407 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
103T00000X | Psychologist | 4982 (North 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. Michelle L Constantino 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 |
Michelle L Constantino, Po Box 60447, Charlotte, NC 28260-0447 Ph: (704) 316-7760 | Michelle L Constantino, 325 Hawthorne Ln Ste 100, Charlotte, NC 28204-2433 Ph: (704) 316-7760 |
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