Amy L Tackett, PHD is a medicare enrolled "Psychologist" provider in Salida, California. Her current practice location is
5222 Pirrone Ct Ste 101a, Salida, California. You can reach out to her office (for appointments etc.) via phone at
(925) 282-1778.
Amy L Tackett is licensed to practice in California (license number 26063) 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 1144642042.
Healthcare Provider's Profile
Full Name | Amy L Tackett |
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Gender | Female |
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Speciality | Psychologist |
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Location | 5222 Pirrone Ct Ste 101a, Salida, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1144642042
- Provider Enumeration Date: 01/11/2014
- Last Update Date: 05/13/2024
Medicare PECOS Information:
- PECOS PAC ID: 2769702745
- Enrollment ID: I20150514002863
Medical Identifiers
Medical identifiers for Amy L Tackett such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1144642042 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | 26063 (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. Amy L Tackett allows following entities to bill medicare on her behalf.
Entity Name | Kings Counseling Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1528489390 PECOS PAC ID: 3870813850 Enrollment ID: O20150514000666 |
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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. Amy L Tackett 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 |
Amy L Tackett, PHD 5222 Pirrone Ct Ste 101a, Salida, CA 95368-9072 Ph: () - | Amy L Tackett, PHD 5222 Pirrone Ct Ste 101a, Salida, CA 95368-9072 Ph: (925) 282-1778 |
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