Marian Santandreu Mirabal, PSYD in Hartford, CT - Medicare Clinical Psychologist Provider

Marian Santandreu Mirabal, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Hartford, Connecticut. She graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Hartford Hospital and her current practice location is 132 Jefferson Street, Hartford, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 972-0200.

Marian Santandreu Mirabal is licensed to practice in Connecticut (license number 4020) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1770865883.

Contact Information

	Marian Santandreu Mirabal, PSYD
	132 Jefferson Street, Hartford, CT 06106
	(860) 972-0200
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Marian Santandreu Mirabal
Gender	Female
Speciality	Clinical Psychologist
Experience	11 Years
Location	132 Jefferson Street, Hartford, Connecticut
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Marian Santandreu Mirabal graduated from medical school in 2013

NPI Data:

NPI Number: 1770865883
Provider Enumeration Date: 09/14/2011
Last Update Date: 07/29/2022

Medicare PECOS Information:

PECOS PAC ID: 2668692500
Enrollment ID: I20140929000058

Medical Identifiers

Medical identifiers for Marian Santandreu Mirabal such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770865883	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	9906 (Massachusetts)	Secondary
103TC0700X	Psychologist - Clinical	4020 (Connecticut)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Hartford Hospital	Hartford, CT	Hospital

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. Marian Santandreu Mirabal allows following entities to bill medicare on her behalf.

Entity Name	Baystate Medical Practices Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548205909 PECOS PAC ID: 5991602971 Enrollment ID: O20040225000080

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. Marian Santandreu Mirabal 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
Marian Santandreu Mirabal, PSYD 125 Liberty St Ste 102, Springfield, MA 01103-1109 Ph: (413) 200-4110	Marian Santandreu Mirabal, PSYD 132 Jefferson Street, Hartford, CT 06106 Ph: (860) 972-0200

Reviews and Comments

Psychologist in Hartford, CT

Dr. Brian T Conover, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 500 Vine St, Hartford, CT 06112 Phone: 860-293-6353 Fax: 860-293-6356
Ms. Omayra M. Carrion, LPCA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 43 Woodland St, Hartford, CT 06105 Phone: 860-793-3373
Dr. Deborah Jean Stack, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 682 Prospect Avenue, Hartford, CT 06105 Phone: 860-258-6065 Fax: 860-232-5077
Dr. Alexandra Giatrelis Munro, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 76 New Britain Ave, Hartford, CT 06106 Phone: 860-547-0970
Dr. Luke Hendren, Psychologist Medicare: Medicare Enrolled Practice Location: 200 Retreat Ave, Hartford, CT 06106 Phone: 860-545-7514
James Degiovanni, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 200 Retreat Ave, Hartford Hospital Psychiatry Department, Hartford, CT 06106 Phone: 860-545-7167 Fax: 860-545-7222
Dr. Allan L. Schiffer, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 674 Prospect Ave, Hartford, CT 06105 Phone: 860-233-6228 Fax: 860-233-2371

Marian Santandreu Mirabal, PSYD - Medicare Psychologist in Hartford, CT