Mrs Nickole J Berrios-santiago, in Ponce, PR - Medicare Psychologist Provider

Mrs Nickole J Berrios-santiago, is a medicare enrolled "Psychologist - Clinical" provider in Ponce, Puerto Rico. Her current practice location is 506 Coto Laurel, Carr. Marginal, Legacy Office Park Suite 102, Ponce, Puerto Rico. You can reach out to her office (for appointments etc.) via phone at (787) 813-2222.

Mrs Nickole J Berrios-santiago is licensed to practice in Puerto Rico (license number 4076) 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 1205228459.

Contact Information

	Mrs Nickole J Berrios-santiago,
	506 Coto Laurel, Carr. Marginal, Legacy Office Park Suite 102, Ponce, PR 00780-9998
	(787) 813-2222
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Nickole J Berrios-santiago
Gender	Female
Speciality	Psychologist - Clinical
Location	506 Coto Laurel, Carr. Marginal, Ponce, Puerto Rico
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205228459
Provider Enumeration Date: 02/25/2015
Last Update Date: 03/07/2018

Medicare PECOS Information:

PECOS PAC ID: 2668826132
Enrollment ID: I20231002003789

Medical Identifiers

Medical identifiers for Mrs Nickole J Berrios-santiago such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205228459	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TS0200X	Psychologist - School	4076 (Puerto Rico)	Secondary
103TC0700X	Psychologist - Clinical	4076 (Puerto Rico)	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. Mrs Nickole J Berrios-santiago allows following entities to bill medicare on her behalf.

Entity Name	Psy Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366930133 PECOS PAC ID: 7113380643 Enrollment ID: O20230830003006

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. Mrs Nickole J Berrios-santiago 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
Mrs Nickole J Berrios-santiago, 401 Calle Amapa, Urb. Vista Alegre, Villalba, PR 00766-2905 Ph: (787) 517-1136	Mrs Nickole J Berrios-santiago, 506 Coto Laurel, Carr. Marginal, Legacy Office Park Suite 102, Ponce, PR 00780-9998 Ph: (787) 813-2222

Reviews and Comments

Psychologist in Ponce, PR

Dr. Benny Rodriguez, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: Vista Alegre Fortuna St., 2054, Ponce, PR 00717 Phone: 787-299-0708
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Dr. Orlando Javier Ostolaza, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7490 Perpetuo Socorro, Santa Maria, Ponce, PR 00717 Phone: 787-601-5284
Dr. Ariel Chardon, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5145 Calle Reniforme, Jardines Del Caribe 5ta, Ponce, PR 00728 Phone: 939-282-2269
Zilkia Enid Maldonado, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 73 Calle Central, Bo. Clausells, Ponce, PR 00731 Phone: 787-649-0625
Dr. Hilkamida Del Carmen Dominguez Martinez, DC Psychologist Medicare: Not Enrolled in Medicare Practice Location: Number 2 Ana D Perez Marshand Street, Industrial Reparada, Ponce, PR 00732 Phone: 787-840-0052 Fax: 787-284-3619

Mrs Nickole J Berrios-santiago, - Medicare Psychologist in Ponce, PR