Mikol S Davis, EDD in San Rafael, CA - Medicare Clinical Psychologist Provider

Mikol S Davis, EDD is a medicare enrolled "Psychologist - Clinical" provider in San Rafael, California. He went to University Of California, San Francisco School Of Medicine and graduated in 1980 and has 44 years of diverse experience with area of expertise as Clinical Psychologist. His current practice location is 930 Irwin St, Suite 215, San Rafael, California. You can reach out to his office (for appointments etc.) via phone at (415) 459-1203.

Mikol S Davis is licensed to practice in California (license number PSY 9063) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1073525895.

Contact Information

	Mikol S Davis, EDD
	930 Irwin St, Suite 215, San Rafael, CA 94901-3340
	(415) 459-1203
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mikol S Davis
Gender	Male
Speciality	Clinical Psychologist
Experience	44 Years
Location	930 Irwin St, San Rafael, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mikol S Davis attended and graduated from University Of California, San Francisco School Of Medicine in 1980

NPI Data:

NPI Number: 1073525895
Provider Enumeration Date: 08/12/2006
Last Update Date: 01/29/2013

Medicare PECOS Information:

PECOS PAC ID: 0840488573
Enrollment ID: I20101222000856

Medical Identifiers

Medical identifiers for Mikol S Davis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073525895	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PSY 9063 (California)	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. Mikol S Davis allows following entities to bill medicare on his behalf.

Entity Name	Dr. Mikol S. Davis, Child & Family Counseling, A Professional Corporat
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033412853 PECOS PAC ID: 1557559283 Enrollment ID: O20101222000732

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. Mikol S Davis 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
Mikol S Davis, EDD 930 Irwin St, Suite 215, San Rafael, CA 94901-3340 Ph: (415) 459-1203	Mikol S Davis, EDD 930 Irwin St, Suite 215, San Rafael, CA 94901-3340 Ph: (415) 459-1203

Reviews and Comments

Psychologist in San Rafael, CA

Miss Geeta Ann Davidson, M.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 20 N San Pedro Rd, San Rafael, CA 94903 Phone: 415-473-7637
Dr. Leslie Frances Chatham, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 820 Las Gallinas Ave, San Rafael, CA 94903 Phone: 415-444-3522 Fax: 415-444-3019
Dr. Carol H Pollard, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 16 Jeanette Prandi Way, Marin Co Juvenile Hall, San Rafael, CA 94903 Phone: 415-499-6894
Dr. Ann Gold Buscho, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 711 D St, Suite 207, San Rafael, CA 94901 Phone: 415-456-0952
Dr. Boukje Elisabeth Eerkens, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1050 Northgate Dr Ste 12, San Rafael, CA 94903 Phone: 415-272-3406 Fax: 415-300-3086
Stephanie Lopez, Psychologist Medicare: Medicare Enrolled Practice Location: 111 Smith Ranch Rd, San Rafael, CA 94903 Phone: 415-491-3127
Dr. Ali Navarro, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 820 Las Gallinas Ave, San Rafael, CA 94903 Phone: 415-444-3522 Fax: 415-444-3019

Mikol S Davis, EDD - Medicare Psychologist in San Rafael, CA