Dr Emily Wyckoff, PHD in Bloomfield, CT - Medicare Psychologist Provider

Dr Emily Wyckoff, PHD is a medicare enrolled "Psychologist - Clinical" provider in Bloomfield, Connecticut. Her current practice location is 10 Jolley Dr, Bloomfield, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 286-2470.

Dr Emily Wyckoff is licensed to practice in Connecticut (license number 004566) 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 1669150116.

Contact Information

	Dr Emily Wyckoff, PHD
	10 Jolley Dr, Bloomfield, CT 06002-3061
	(860) 286-2470
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Emily Wyckoff
Gender	Female
Speciality	Psychologist - Clinical
Location	10 Jolley Dr, Bloomfield, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1669150116
Provider Enumeration Date: 07/06/2023
Last Update Date: 08/29/2023

Medicare PECOS Information:

PECOS PAC ID: 8022472802
Enrollment ID: I20230912003485

Medical Identifiers

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

Identifier	Type	State	Issuer
1669150116	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TH0004X	Psychologist - Health	4566 (Connecticut)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
103TC0700X	Psychologist - Clinical	004566 (Connecticut)	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. Dr Emily Wyckoff allows following entities to bill medicare on her behalf.

Entity Name	Hartford Healthcare Medical Group Specialists Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023584216 PECOS PAC ID: 3173866241 Enrollment ID: O20190514001441

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 Emily Wyckoff 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 Emily Wyckoff, PHD 10 Jolley Dr, Bloomfield, CT 06002-3061 Ph: (860) 286-2470	Dr Emily Wyckoff, PHD 10 Jolley Dr, Bloomfield, CT 06002-3061 Ph: (860) 286-2470

Reviews and Comments

Psychologist in Bloomfield, CT

Dr. Barbara J Tarkin, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6 Northwestern Dr, Suite 306, Bloomfield, CT 06002 Phone: 860-242-3702 Fax: 860-242-1964
Dr. Wilbur Joseph Nelson Jr., PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3 Northwestern Dr, Bloomfield, CT 06002 Phone: 860-243-3477 Fax: 860-243-3224
Cheryl Ellis, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 11 Mountain Ave, Suite 204, Bloomfield, CT 06002 Phone: 860-726-9457
Dr. Stacy David Bernstein, PSY.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 701 Cottage Grove Rd Ste F010, Bloomfield, CT 06002 Phone: 203-571-8344
Dr. Kevin J Connolly, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 6 Northwestern Dr, Suite 306, Bloomfield, CT 06002 Phone: 860-242-3702 Fax: 860-242-1964
Dr. Coleen Dobo, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 11 Walts Hl, Bloomfield, CT 06002 Phone: 860-372-9437
Dr. Michele Krynski, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1 Regency Drive, #101, Bloomfield, CT 06002 Phone: 860-243-9301 Fax: 860-298-0888

Dr Emily Wyckoff, PHD - Medicare Psychologist in Bloomfield, CT