Dr Karen M Mikolic, PHD is a medicare enrolled "Clinical Neuropsychologist" provider in San Diego, California. Her current practice location is
4660 La Jolla Village Dr Ste 100, San Diego, California. You can reach out to her office (for appointments etc.) via phone at
(858) 221-6311.
Dr Karen M Mikolic is licensed to practice in Florida (license number PY8438) 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 1952680829.
Healthcare Provider's Profile
| Full Name | Dr Karen M Mikolic |
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| Gender | Female |
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| Speciality | Clinical Neuropsychologist |
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| Location | 4660 La Jolla Village Dr Ste 100, San Diego, 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: 1952680829
- Provider Enumeration Date: 08/10/2011
- Last Update Date: 10/27/2023
Medicare PECOS Information:
- PECOS PAC ID: 7214104280
- Enrollment ID: I20220509000403
Medical Identifiers
Medical identifiers for Dr Karen M Mikolic such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1952680829 | NPI | - | NPPES |
| N/A | Medicaid | FL | |
| PY8438 | Other | FL | MEDICAL LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | PSY1000723 (District Of Columbia) | Secondary |
| 103G00000X | Clinical Neuropsychologist | PY8438 (Florida) | 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 Karen M Mikolic allows following entities to bill medicare on her behalf.
| Entity Name | Piece Of Mind Neuropsychology Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1366032526
PECOS PAC ID: 2365829637
Enrollment ID: O20220509000299 |
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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. Dr Karen M Mikolic 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 Karen M Mikolic, PHD
Po Box 721034,
San Diego, CA 92172-1034
Ph: (858) 221-6311 | Dr Karen M Mikolic, PHD
4660 La Jolla Village Dr Ste 100,
San Diego, CA 92122-4604
Ph: (858) 221-6311 |
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