<unavail> in Bloomington, IN - Medicare Psychologist

is a medicare enrolled mental health clinic (Psychologist - Clinical) in Bloomington, Indiana. The current practice location for is 608 W Glen Arbor Way, Bloomington, Indiana. For appointments, you can reach them via phone at (812) 345-0492. The mailing address for is 608 W Glen Arbor Way, Bloomington, Indiana and phone number is (812) 345-0492.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1174223523. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (812) 345-0492.

Contact Information


	608 W Glen Arbor Way Bloomington IN 47403-4537
	(812) 345-0492
	Not Available

Map and Direction

Mental Health Clinic Profile

Full Name
Speciality	Psychologist
Location	608 W Glen Arbor Way, Bloomington, Indiana
Authorized Official Name and Position	Lisa Ann Mcmichael (PSYCHOLOGIST)
Authorized Official Contact	8123450492
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
608 W Glen Arbor Way Bloomington IN 47403-4537 Ph: (812) 345-0492	608 W Glen Arbor Way Bloomington IN 47403-4537 Ph: (812) 345-0492

NPI Details:

NPI Number	1174223523
Provider Enumeration Date	03/06/2023
Last Update Date	08/16/2023
Certification Date	08/16/2023

Medicare PECOS Information:

Medicare PECOS PAC ID	4789034299
Medicare Enrollment ID	O20231226001320

Medical Identifiers

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

Identifier	Type	State	Issuer
1174223523	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:

Provider Name	Lisa A Mcmichael
Provider Type	Practitioner - Clinical Psychologist
Provider Identifiers	NPI Number: 1609937135 PECOS PAC ID: 5698723757 Enrollment ID: I20200707003045

Reviews and Comments

Psychologist in Bloomington, IN

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- Medicare Mental Health Clinic in Bloomington, IN