Mr Thomas David Mulderink, in Evansville, IN - Medicare Psychologist Provider

Mr Thomas David Mulderink, is a medicare enrolled "Psychologist - Clinical" provider in Evansville, Indiana. His current practice location is 3900 Washington Ave, Ste 100, Evansville, Indiana. You can reach out to his office (for appointments etc.) via phone at (812) 485-6694.

Mr Thomas David Mulderink is licensed to practice in Indiana (license number 20043019A) 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 1982086153.

Contact Information

	Mr Thomas David Mulderink,
	3900 Washington Ave, Ste 100, Evansville, IN 47714-0550
	(812) 485-6694
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Thomas David Mulderink
Gender	Male
Speciality	Psychologist - Clinical
Location	3900 Washington Ave, 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: 1982086153
Provider Enumeration Date: 06/24/2015
Last Update Date: 07/27/2022

Medicare PECOS Information:

PECOS PAC ID: 3072918002
Enrollment ID: I20210830000163

Medical Identifiers

Medical identifiers for Mr Thomas David Mulderink such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982086153	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	20043019A (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. Mr Thomas David Mulderink allows following entities to bill medicare on his behalf.

Entity Name	St Marys Health Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497706287 PECOS PAC ID: 9133023898 Enrollment ID: O20031124000522

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. Mr Thomas David Mulderink 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
Mr Thomas David Mulderink, 3900 Washington Ave # 100, Evansville, IN 47714-0550 Ph: () -	Mr Thomas David Mulderink, 3900 Washington Ave, Ste 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
Michelle E Mastin, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 3900 Washington Ave # 100, Evansville, IN 47714 Phone: 812-485-6694
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

Mr Thomas David Mulderink, - Medicare Psychologist in Evansville, IN