Michael Eric Evitts, PHD in Detroit, MI - Medicare Psychologist Provider

Michael Eric Evitts, PHD is a medicare enrolled "Psychologist - Clinical" provider in Detroit, Michigan. His current practice location is 2799 W Grand Blvd, Detroit, Michigan. You can reach out to his office (for appointments etc.) via phone at (313) 916-2600.

Michael Eric Evitts is licensed to practice in Michigan (license number 6301019184) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1235703000.

Contact Information

	Michael Eric Evitts, PHD
	2799 W Grand Blvd, Detroit, MI 48202-2608
	(313) 916-2600
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Michael Eric Evitts
Gender	Male
Speciality	Psychologist - Clinical
Location	2799 W Grand Blvd, Detroit, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235703000
Provider Enumeration Date: 05/17/2021
Last Update Date: 10/18/2024

Medicare PECOS Information:

PECOS PAC ID: 1254718687
Enrollment ID: I20230606002522

Medical Identifiers

Medical identifiers for Michael Eric Evitts such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235703000	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	6301019184 (Michigan)	Secondary
103TC0700X	Psychologist - Clinical	6361006432 (Michigan)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	6361006432 (Michigan)	Secondary
103TC0700X	Psychologist - Clinical	6301019184 (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. Michael Eric Evitts allows following entities to bill medicare on his behalf.

Entity Name	Henry Ford Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114001468 PECOS PAC ID: 0547178311 Enrollment ID: O20031111000517

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. Michael Eric Evitts 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
Michael Eric Evitts, PHD 1 Ford Pl Ste 3a, Detroit, MI 48202-3450 Ph: (313) 874-4806	Michael Eric Evitts, PHD 2799 W Grand Blvd, Detroit, MI 48202-2608 Ph: (313) 916-2600

Reviews and Comments

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Michael Eric Evitts, PHD - Medicare Psychologist in Detroit, MI