Michelle Renee Palmer, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Newport Beach, California. Her current practice location is
1000 Quail St Ste 185, Newport Beach, California. You can reach out to her office (for appointments etc.) via phone at
(951) 310-1161.
Michelle Renee Palmer is licensed to practice in California (license number PSY27521) 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 1639365018.
Healthcare Provider's Profile
| Full Name | Michelle Renee Palmer |
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| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 1000 Quail St Ste 185, Newport Beach, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1639365018
- Provider Enumeration Date: 09/19/2007
- Last Update Date: 06/06/2018
Medicare PECOS Information:
- PECOS PAC ID: 8022364348
- Enrollment ID: I20180628002370
Medical Identifiers
Medical identifiers for Michelle Renee Palmer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1639365018 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | PSY27521 (California) | 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. Michelle Renee Palmer allows following entities to bill medicare on her behalf.
| Entity Name | Coastal Psychological Services, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1588161384
PECOS PAC ID: 2769747179
Enrollment ID: O20180605001578 |
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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. Michelle Renee Palmer 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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Michelle Renee Palmer, PSYD
4620 Melody Dr Apt D,
Concord, CA 94521-5317
Ph: (562) 270-2872 | Michelle Renee Palmer, PSYD
1000 Quail St Ste 185,
Newport Beach, CA 92660
Ph: (951) 310-1161 |
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