Dr Michael Leonard Nissenbaum, PHD in Centereach, NY - Medicare Clinical Psychologist Provider

Dr Michael Leonard Nissenbaum, PHD is a medicare enrolled "Psychologist - Cognitive & Behavioral" provider in Centereach, New York. He graduated from medical school in 1988 and has 36 years of diverse experience with area of expertise as Clinical Psychologist. His current practice location is 2100 Middle Country Rd, Suite 28w, Centereach, New York. You can reach out to his office (for appointments etc.) via phone at (631) 737-9500.

Dr Michael Leonard Nissenbaum is licensed to practice in New York (license number 010232) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1174546725.

Contact Information

	Dr Michael Leonard Nissenbaum, PHD
	2100 Middle Country Rd, Suite 28w, Centereach, NY 11720-3577
	(631) 737-9500
	(631) 737-9512

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Michael Leonard Nissenbaum
Gender	Male
Speciality	Clinical Psychologist
Experience	36 Years
Location	2100 Middle Country Rd, Centereach, New York
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Michael Leonard Nissenbaum graduated from medical school in 1988

NPI Data:

NPI Number: 1174546725
Provider Enumeration Date: 07/25/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 2264336296
Enrollment ID: I20031121000443

Medical Identifiers

Medical identifiers for Dr Michael Leonard Nissenbaum such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174546725	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TB0200X	Psychologist - Cognitive & Behavioral	010232 (New York)	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 Michael Leonard Nissenbaum allows following entities to bill medicare on his behalf.

Entity Name	Michael L Nissnbaum, Ph.d., Psychologist, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205009511 PECOS PAC ID: 2062591902 Enrollment ID: O20080505000295

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 Michael Leonard Nissenbaum 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 Michael Leonard Nissenbaum, PHD Po Box 625, Centereach, NY 11720-0625 Ph: (631) 737-9500	Dr Michael Leonard Nissenbaum, PHD 2100 Middle Country Rd, Suite 28w, Centereach, NY 11720-3577 Ph: (631) 737-9500

Reviews and Comments

Psychologist in Centereach, NY

Dr. Anthony J Anzalone, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1919 Middle Country Rd, Centereach, NY 11720 Phone: 631-209-5343 Fax: 631-648-7655
Dr. Amanda Lea Grodewald-adler, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 1919 Middle Country Rd, Suite 308, Centereach, NY 11720 Phone: 631-209-5343 Fax: 631-648-7655
Dr. Sean Barry Haggerty, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 1919 Middle Country Rd, Suite 201, Centereach, NY 11720 Phone: 631-689-6560 Fax: 631-689-6560

Dr Michael Leonard Nissenbaum, PHD - Medicare Psychologist in Centereach, NY