Melody Mickens, in Richmond, VA - Medicare Psychologist Provider

Melody Mickens, is a medicare enrolled "Psychologist - Clinical" provider in Richmond, Virginia. Her current practice location is 1201 Broad Rock Boulevard, 2b-271, Richmond, Virginia. You can reach out to her office (for appointments etc.) via phone at (804) 675-5000.

Melody Mickens is licensed to practice in Virginia (license number 0810005496) 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 1942759626.

Contact Information

	Melody Mickens,
	1201 Broad Rock Boulevard, 2b-271, Richmond, VA 23294-4915
	(804) 675-5000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Melody Mickens
Gender	Female
Speciality	Psychologist - Clinical
Location	1201 Broad Rock Boulevard, Richmond, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1942759626
Provider Enumeration Date: 09/23/2016
Last Update Date: 09/23/2016

Medicare PECOS Information:

PECOS PAC ID: 5496187189
Enrollment ID: I20191119000540

Medical Identifiers

Medical identifiers for Melody Mickens such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942759626	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	0810005496 (Virginia)	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. Melody Mickens allows following entities to bill medicare on her behalf.

Entity Name	University Of Utah Behavioral Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740688613 PECOS PAC ID: 9537483607 Enrollment ID: O20150120001118

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. Melody Mickens 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
Melody Mickens, 1201 Broad Rock Blvd, Richmond, VA 23103 Ph: (804) 337-2146	Melody Mickens, 1201 Broad Rock Boulevard, 2b-271, Richmond, VA 23294-4915 Ph: (804) 675-5000

Reviews and Comments

Psychologist in Richmond, VA

Paul Douglas Dukarm, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 8730 Stony Point Pkwy, Richmond, VA 23235 Phone: 804-327-1166 Fax: 804-327-1170
Sarah Buchheit Reyes, LCP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 530 E Main St Ste 530, Richmond, VA 23219 Phone: 804-648-0169 Fax: 804-649-4069
Dr. Jeremy Wayne Stout, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1207 Broad Rock Blvd, Richmond, VA 23249 Phone: 804-675-5000
Caitlin Rose Larsen-morales, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1308 Sherwood Ave, Richmond, VA 23220 Phone: 804-828-3129
Dr. Alan Frank Kleinkopf, PSY.D. Psychologist Medicare: May Accept Medicare Assignments Practice Location: 5315 Cutshaw Ave, Richmond, VA 23226 Phone: 804-282-1331
John Christian Colletti, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 9515 Catesby Ln, Richmond, VA 23238 Phone: 804-741-7500 Fax: 804-741-7900
Dr. Stephan Raab Weinland, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1250 E Marshall St, Psychiatry, Richmond, VA 23298 Phone: 804-828-2000 Fax: 804-828-7675

Melody Mickens, - Medicare Psychologist in Richmond, VA