Mitchell James Vansumeren, PSYD in Indianapolis, IN

Mitchell James Vansumeren, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Indianapolis, Indiana. His current practice location is 10291 N Meridian St Ste 310, Indianapolis, Indiana. You can reach out to his office (for appointments etc.) via phone at (317) 672-1970.

Mitchell James Vansumeren is licensed to practice in Indiana (license number 20043294A) 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 1023534815.

Contact Information

	Mitchell James Vansumeren, PSYD
	10291 N Meridian St Ste 310, Indianapolis, IN 46290
	(317) 672-1970
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mitchell James Vansumeren
Gender	Male
Speciality	Psychologist - Clinical
Location	10291 N Meridian St Ste 310, Indianapolis, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023534815
Provider Enumeration Date: 08/14/2017
Last Update Date: 09/27/2019

Medicare PECOS Information:

PECOS PAC ID: 7810229051
Enrollment ID: I20191021003388

Medical Identifiers

Medical identifiers for Mitchell James Vansumeren such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023534815	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	20043294A (Indiana)	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. Mitchell James Vansumeren allows following entities to bill medicare on his behalf.

Entity Name	Brain Performance Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013319656 PECOS PAC ID: 3274755814 Enrollment ID: O20141114000146

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. Mitchell James Vansumeren 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
Mitchell James Vansumeren, PSYD 10291 N Meridian St Ste 310, Indianapolis, IN 46290-1083 Ph: (317) 672-1970	Mitchell James Vansumeren, PSYD 10291 N Meridian St Ste 310, Indianapolis, IN 46290 Ph: (317) 672-1970

Reviews and Comments

Psychologist in Indianapolis, IN

Dr. Jennifer Holzman, PSYD, HSPP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 70 E 91st St Ste 210, Indianapolis, IN 46240 Phone: 317-573-0149
Dr. Sarah A Landsberger, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 355 W 16th St, Indianapolis, IN 46202 Phone: 317-963-7300 Fax: 317-963-7325
Dr. William D. Alexy, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6110 N. Meridian, W.dr, Indianapolis, IN 46208 Phone: 317-255-3729 Fax: 317-255-3729
Dr. Yelena Chernyak, PH.D., HSPP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 550 University Blvd, Room Uh 3240, Indianapolis, IN 46202 Phone: 317-944-7422 Fax: 317-944-1497
Tami S Krichiver, PSYD, HSPP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2011 N Meridian St, Indianapolis, IN 46202 Phone: 317-924-7010 Fax: 317-941-2208
Brigid R Marriott, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 1002 Wishard Blvd Ste 4110, Indianapolis, IN 46202 Phone: 317-944-8162 Fax: 317-948-0609
Dr. Lisa B Brown, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6284 Rucker Rd, Suite N, Indianapolis, IN 46220 Phone: 317-475-1389 Fax: 317-475-9089

Mitchell James Vansumeren, PSYD - Medicare Psychologist in Indianapolis, IN