Dr Kathleen Mavourneen Cusick, PSYD in Ypsilanti, MI

Dr Kathleen Mavourneen Cusick, PSYD is a medicare enrolled "Psychologist" provider in Ypsilanti, Michigan. Her current practice location is 135 S Prospect St, Ypsilanti, Michigan. You can reach out to her office (for appointments etc.) via phone at (248) 719-2845.

Dr Kathleen Mavourneen Cusick is licensed to practice in Michigan (license number 6301016433) 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 1679121461.

Contact Information

	Dr Kathleen Mavourneen Cusick, PSYD
	135 S Prospect St, Ypsilanti, MI 48198-7914
	(248) 719-2845
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Kathleen Mavourneen Cusick
Gender	Female
Speciality	Psychologist
Location	135 S Prospect St, Ypsilanti, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679121461
Provider Enumeration Date: 08/27/2019
Last Update Date: 08/27/2019

Medicare PECOS Information:

PECOS PAC ID: 8729433438
Enrollment ID: I20231016003606

Medical Identifiers

Medical identifiers for Dr Kathleen Mavourneen Cusick such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679121461	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	6301016433 (Michigan)	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 Kathleen Mavourneen Cusick allows following entities to bill medicare on her behalf.

Entity Name	List Psychological Services, Plc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336176031 PECOS PAC ID: 6709799323 Enrollment ID: O20031110000689

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 Kathleen Mavourneen Cusick 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 Kathleen Mavourneen Cusick, PSYD 21637 Welch Rd, Northville, MI 48167-2101 Ph: (248) 719-2845	Dr Kathleen Mavourneen Cusick, PSYD 135 S Prospect St, Ypsilanti, MI 48198-7914 Ph: (248) 719-2845

Reviews and Comments

Psychologist in Ypsilanti, MI

Emerson Lane Delacroix, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 704 N Congress St, Suite 3, Ypsilanti, MI 48197 Phone: 765-426-1313
Lynn Ann Radabaugh, MA LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 555 Towner St, Ypsilanti, MI 48198 Phone: 734-891-3401
Ms. Sierra Johnson, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 127 N Washington St, Ypsilanti, MI 48197 Phone: 734-682-5544
Robin T. Songer-cook, L.L.P. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 555 Towner St, Ypsilanti, MI 48198 Phone: 734-544-3050 Fax: 734-544-6726
Ms. Wendy Thompson, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 1207 Pearl, Ypsilanti, MI 48197 Phone: 734-358-0477 Fax: 734-436-0253
Catherine Kwantes, TLLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 124 Pearl St Ste 207, Ypsilanti, MI 48197 Phone: 734-945-6210
Suzzanne Suleiman, LLP Psychologist Medicare: Medicare Enrolled Practice Location: 5401 Mcauley Drive, Ypsilanti, MI 48197 Phone: 734-786-2300 Fax: 734-786-4915

Dr Kathleen Mavourneen Cusick, PSYD - Medicare Psychologist in Ypsilanti, MI