Michelle E Mastin, PHD in Evansville, IN - Medicare Psychologist Provider

Michelle E Mastin, PHD is a medicare enrolled "Psychologist - Clinical Child & Adolescent" provider in Evansville, Indiana. Her current practice location is 3900 Washington Ave # 100, Evansville, Indiana. You can reach out to her office (for appointments etc.) via phone at (812) 485-6694.

Michelle E Mastin is licensed to practice in Alabama (license number 1799) 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 1003869116.

Contact Information

	Michelle E Mastin, PHD
	3900 Washington Ave # 100, Evansville, IN 47714-0550
	(812) 485-6694
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Michelle E Mastin
Gender	Female
Speciality	Psychologist - Clinical Child & Adolescent
Location	3900 Washington Ave # 100, Evansville, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003869116
Provider Enumeration Date: 05/18/2006
Last Update Date: 08/29/2024

Medicare PECOS Information:

PECOS PAC ID: 5597789628
Enrollment ID: I20201130001373

Medical Identifiers

Medical identifiers for Michelle E Mastin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003869116	NPI	-	NPPES
P108974770	Other	MI	BCBS PERSONAL PIN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC2200X	Psychologist - Clinical Child & Adolescent	6301012872 (Michigan)	Secondary
103TC2200X	Psychologist - Clinical Child & Adolescent	1799 (Alabama)	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 E Mastin allows following entities to bill medicare on her behalf.

Entity Name	St Vincent Pediatric Subspecialties
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013967736 PECOS PAC ID: 1557313939 Enrollment ID: O20050214000627

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 E Mastin 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 E Mastin, PHD 3900 Washington Ave # 100, Evansville, IN 47714-0550 Ph: () -	Michelle E Mastin, PHD 3900 Washington Ave # 100, Evansville, IN 47714-0550 Ph: (812) 485-6694

Reviews and Comments

Psychologist in Evansville, IN

Dr. Stacy J Blankenbuehler, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 421 Chestnut St, Evansville, IN 47713 Phone: 812-426-9779 Fax: 812-426-6610
Brian Thomas Longwell, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 120 Se 4th St, Evansville, IN 47708 Phone: 812-426-9862 Fax: 812-426-9779
Prof. Nannette Stump, PHD, HSPP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3700 Washington Ave, Evansville, IN 47714 Phone: 812-485-5612 Fax: 812-485-5628
Dr. John F Ireland, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3101 N Green River Rd, Suite 910, Evansville, IN 47715 Phone: 812-479-1916 Fax: 812-479-5014
Ms. Dawn Shaner Gable, PHD HSPP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 819 W Franklin St, Evansville, IN 47710 Phone: 812-491-1805 Fax: 812-491-1929
Dr. Larry Dale Archer, CLINICAL PSYCHOLOGIS Psychologist Medicare: Not Enrolled in Medicare Practice Location: Evansville Va Health Care Center, 6211 E. Waterford Blvd., Evansville, IN 47715 Phone: 812-465-6202

Michelle E Mastin, PHD - Medicare Psychologist in Evansville, IN