Michelle Mintz, MS,CCC-SLP is a medicare enrolled "Rehabilitation Practitioner" provider in Santa Monica, California. Her current practice location is
1537 Berkeley St, #7, Santa Monica, California. You can reach out to her office (for appointments etc.) via phone at
(310) 902-5008.
Michelle Mintz is licensed to practice in * (Not Available) (license number ) 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 1588893481.
Healthcare Provider's Profile
| Full Name | Michelle Mintz |
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| Gender | Female |
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| Speciality | Rehabilitation Practitioner |
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| Location | 1537 Berkeley St, Santa Monica, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1588893481
- Provider Enumeration Date: 07/13/2009
- Last Update Date: 03/08/2014
Medicare PECOS Information:
- PECOS PAC ID: 9032531256
- Enrollment ID: I20200617000253
Medical Identifiers
Medical identifiers for Michelle Mintz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588893481 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 235Z00000X | Speech-language Pathologist | SP 9857 (California) | Secondary |
| 225400000X | Rehabilitation Practitioner | (* (Not Available)) | 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. Michelle Mintz allows following entities to bill medicare on her behalf.
| Provider Name | Feld Care Therapy Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1770069338
PECOS PAC ID: 6507101359
Enrollment ID: O20181222000200 |
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| Provider Name | Omni Therapy Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1174159479
PECOS PAC ID: 4385074327
Enrollment ID: O20200415001959 |
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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 Mintz 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 Mintz, MS,CCC-SLP
1537 Berkeley St, #7,
Santa Monica, CA 90404-3224
Ph: () - | Michelle Mintz, MS,CCC-SLP
1537 Berkeley St, #7,
Santa Monica, CA 90404-3224
Ph: (310) 902-5008 |
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