Michelle Renee Victoria, LP PHD in Novi, MI - Medicare Clinical Psychologist Provider

Michelle Renee Victoria, LP PHD is a medicare enrolled "Psychologist - Clinical" provider in Novi, Michigan. 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 Ascension Eastwood Behavioral Health and her current practice location is 44000 W 12 Mile Rd Ste 101, Novi, Michigan. You can reach out to her office (for appointments etc.) via phone at (248) 226-3001.

Michelle Renee Victoria is licensed to practice in Michigan (license number 6301018352) 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 1285094789.

Contact Information

	Michelle Renee Victoria, LP PHD
	44000 W 12 Mile Rd Ste 101, Novi, MI 48377-2646
	(248) 226-3001
	(248) 347-6479

Map and Direction

Healthcare Provider's Profile

Full Name	Michelle Renee Victoria
Gender	Female
Speciality	Clinical Psychologist
Experience	11 Years
Location	44000 W 12 Mile Rd Ste 101, Novi, Michigan
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:

Michelle Renee Victoria graduated from medical school in 2013

NPI Data:

NPI Number: 1285094789
Provider Enumeration Date: 02/26/2016
Last Update Date: 10/09/2020

Medicare PECOS Information:

PECOS PAC ID: 9436441094
Enrollment ID: I20210114000986

Medical Identifiers

Medical identifiers for Michelle Renee Victoria such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285094789	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	SI5583 (New Jersey)	Secondary
103TC0700X	Psychologist - Clinical	6301018352 (Michigan)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ascension Eastwood Behavioral Health	2163324492	42

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 Renee Victoria allows following entities to bill medicare on her behalf.

Entity Name	Ascension Eastwood Behavioral Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396787701 PECOS PAC ID: 2163324492 Enrollment ID: O20040126000572

Entity Name	Integrated Mental Health Professionals Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487412490 PECOS PAC ID: 6901348499 Enrollment ID: O20240612002043

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 Renee Victoria 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 Renee Victoria, LP PHD 44000 W 12 Mile Rd, Novi, MI 48377-2644 Ph: (856) 981-0894	Michelle Renee Victoria, LP PHD 44000 W 12 Mile Rd Ste 101, Novi, MI 48377-2646 Ph: (248) 226-3001

Reviews and Comments

Psychologist in Novi, MI

Elizabeth Marie Jackson, MA, TLLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 43155 Main St, Atrium 2300 Suite I, Novi, MI 48375 Phone: 734-656-8191
David Peradotto, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 43450 W 10 Mile Rd, Novi, MI 48375 Phone: 248-344-7420 Fax: 248-344-7423
Kinneta Easter Mason, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 41825 Borchart Dr, Novi, MI 48375 Phone: 313-919-1801
Meredith Merlanti, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 23985 Novi Rd, Suite B-104, Novi, MI 48375 Phone: 248-912-0080
Lawrence Joseph Collins, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 26850 Providence Pkwy, Suite 410, Novi, MI 48374 Phone: 248-465-4335 Fax: 248-465-4535
Lauren Radtke- Rounds, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 21149 Dundee Dr, Novi, MI 48375 Phone: 248-962-5064
Dr. Howard E Moore, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 28175 Haggerty Rd, Novi, MI 48377 Phone: 248-994-1154

Michelle Renee Victoria, LP PHD - Medicare Psychologist in Novi, MI