Michelle C Rodoletz, PHD in Philadelphia, PA - Medicare Psychologist Provider

Michelle C Rodoletz, PHD is a medicare enrolled "Psychologist" provider in Philadelphia, Pennsylvania. Her current practice location is 333 Cottman Ave, Fox Chase Cancer Center, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 214-3940.

Michelle C Rodoletz is licensed to practice in Pennsylvania (license number PS008622L) 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 1144453614.

Contact Information

	Michelle C Rodoletz, PHD
	333 Cottman Ave, Fox Chase Cancer Center, Philadelphia, PA 19111-2434
	(215) 214-3940
	(215) 214-1425

Map and Direction

Healthcare Provider's Profile

Full Name	Michelle C Rodoletz
Gender	Female
Speciality	Psychologist
Location	333 Cottman Ave, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144453614
Provider Enumeration Date: 08/31/2009
Last Update Date: 04/05/2017

Medicare PECOS Information:

PECOS PAC ID: 8022158492
Enrollment ID: I20091215000544

Medical Identifiers

Medical identifiers for Michelle C Rodoletz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144453614	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	PS008622L (Pennsylvania)	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. Michelle C Rodoletz allows following entities to bill medicare on her behalf.

Entity Name	Fox Chase Cancer Center Medical Group, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396019444 PECOS PAC ID: 8123289550 Enrollment ID: O20120412000054

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. Michelle C Rodoletz 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
Michelle C Rodoletz, PHD 2450 W Hunting Park Ave, Philadelphia, PA 19129-1302 Ph: (215) 214-3940	Michelle C Rodoletz, PHD 333 Cottman Ave, Fox Chase Cancer Center, Philadelphia, PA 19111-2434 Ph: (215) 214-3940

Reviews and Comments

Psychologist in Philadelphia, PA

Nancy Allanoff Braveman, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 34th Street & Civic Center Blvd, Philadelphia, PA 19104 Phone: 215-590-7555 Fax: 215-590-7387
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Dr. Melisa English Moore, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 34th & Civic Center Blvd, Philadelphia, PA 19104 Phone: 215-590-7555 Fax: 215-590-7387
Dr. Lisa Marie Boschi, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 90 Rochelle Ave, Philadelphia, PA 19128 Phone: 215-508-3300 Fax: 215-508-3210
Jessica Harpel, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3401 Civic Center Blvd, Philadelphia, PA 19104 Phone: 717-332-5114
Dr. Maria Drvoshanov, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1518 Walnut St Ste 607, Philadelphia, PA 19102 Phone: 571-606-9076

Michelle C Rodoletz, PHD - Medicare Psychologist in Philadelphia, PA