Dr Diana Michalczuk, PSYD in Bennington, VT - Medicare Clinical Psychologist Provider

Dr Diana Michalczuk, PSYD is a medicare enrolled "Psychologist" provider in Bennington, Vermont. She graduated from medical school in 2010 and has 15 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Memory Clinic Inc and her current practice location is 357 Shields Dr, Bennington, Vermont. You can reach out to her office (for appointments etc.) via phone at (802) 447-1409.

Dr Diana Michalczuk is licensed to practice in Vermont (license number 048.0086156) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1760631774.

Contact Information

	Dr Diana Michalczuk, PSYD
	357 Shields Dr, Bennington, VT 05201-9810
	(802) 447-1409
	(802) 442-5199

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Diana Michalczuk
Gender	Female
Speciality	Clinical Psychologist
Experience	15 Years
Location	357 Shields Dr, Bennington, Vermont
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Diana Michalczuk graduated from medical school in 2010

NPI Data:

NPI Number: 1760631774
Provider Enumeration Date: 09/15/2008
Last Update Date: 06/28/2013

Medicare PECOS Information:

PECOS PAC ID: 5193977585
Enrollment ID: I20121211000333

Medical Identifiers

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

Identifier	Type	State	Issuer
1760631774	NPI	-	NPPES
003006801	Other	VT	MEDICARE PTAN
P01173650	Other	VT	RAILROAD MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	048.0086156 (Vermont)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Memory Clinic Inc	6709209109	5

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 Diana Michalczuk allows following entities to bill medicare on her behalf.

Entity Name	Memory Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205359213 PECOS PAC ID: 6709209109 Enrollment ID: O20200701002464

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 Diana Michalczuk 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
Dr Diana Michalczuk, PSYD 357 Shields Dr, Bennington, VT 05201-9810 Ph: (802) 447-1409	Dr Diana Michalczuk, PSYD 357 Shields Dr, Bennington, VT 05201-9810 Ph: (802) 447-1409

Reviews and Comments

Psychologist in Bennington, VT

Bernard M Bandman, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 160 Benmont Ave, Bennington, VT 05201 Phone: 802-447-0037 Fax: 802-442-8721
Laura Budde, LICSW Psychologist Medicare: Not Enrolled in Medicare Practice Location: 100 Ledgehill Rd, Bennington, VT 05201 Phone: 802-442-5491 Fax: 802-442-4910
Barbara M Hand, MA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 100 Ledgehill Rd, Bennington, VT 05201 Phone: 802-442-5491
Dr. Jeremy Ray Sullivan, PSY.D Psychologist Medicare: Medicare Enrolled Practice Location: 655 Main St, Bennington, VT 05201 Phone: 413-347-6679
Doris M Russell, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 100 Ledgehill Rd, Bennington, VT 05201 Phone: 802-442-5491 Fax: 802-442-3363
Jennifer Romans Burgoon, PHD, Psychologist Medicare: Accepting Medicare Assignments Practice Location: 160 Hospital Dr, Bennington, VT 05201 Phone: 210-615-3483
Paul Stitelman, LICSW Psychologist Medicare: Not Enrolled in Medicare Practice Location: 100 Ledgehill Rd, Bennington, VT 05201 Phone: 802-442-5491 Fax: 802-442-4910

Dr Diana Michalczuk, PSYD - Medicare Psychologist in Bennington, VT