Mrs Michelle Ayesha Macon, CRNP in Austin, TX

Mrs Michelle Ayesha Macon, CRNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Austin, Texas. Her current practice location is 8715 W Highway 71 Apt 4109, Austin, Texas. You can reach out to her office (for appointments etc.) via phone at (410) 615-8566.

Mrs Michelle Ayesha Macon is licensed to practice in Texas (license number AP134596) 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 1740614726.

Contact Information

	Mrs Michelle Ayesha Macon, CRNP
	8715 W Highway 71 Apt 4109, Austin, TX 78735-0036
	(410) 615-8566
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Michelle Ayesha Macon
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	8715 W Highway 71 Apt 4109, Austin, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1740614726
Provider Enumeration Date: 08/27/2013
Last Update Date: 10/04/2023

Medicare PECOS Information:

PECOS PAC ID: 9739315375
Enrollment ID: I20170818001688

Medical Identifiers

Medical identifiers for Mrs Michelle Ayesha Macon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740614726	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	R170142 (Maryland)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	AP134596 (Texas)	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. Mrs Michelle Ayesha Macon allows following entities to bill medicare on her behalf.

Entity Name	Encounter Telehealth Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922342195 PECOS PAC ID: 9931348307 Enrollment ID: O20170512001047

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. Mrs Michelle Ayesha Macon 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
Mrs Michelle Ayesha Macon, CRNP 8715 W Highway 71 Apt 4109, Austin, TX 78735-0036 Ph: (141) 061-5856	Mrs Michelle Ayesha Macon, CRNP 8715 W Highway 71 Apt 4109, Austin, TX 78735-0036 Ph: (410) 615-8566

Reviews and Comments

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Mrs Michelle Ayesha Macon, CRNP - Medicare Nurse Practitioner in Austin, TX