Dr Rolake O Tomori, PSYD in Stone Mountain, GA - Medicare Psychologist Provider

Dr Rolake O Tomori, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Stone Mountain, Georgia. Her current practice location is 1551 Juliette Dr, Stone Mountain, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 639-2257.

Dr Rolake O Tomori is licensed to practice in California (license number PSY003452) 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 1063555266.

Contact Information

	Dr Rolake O Tomori, PSYD
	1551 Juliette Dr, Stone Mountain, GA 30083-1509
	(678) 639-2257
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Rolake O Tomori
Gender	Female
Speciality	Psychologist - Clinical
Location	1551 Juliette Dr, Stone Mountain, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063555266
Provider Enumeration Date: 02/15/2007
Last Update Date: 04/26/2024

Medicare PECOS Information:

PECOS PAC ID: 3476710617
Enrollment ID: I20240125002302

Medical Identifiers

Medical identifiers for Dr Rolake O Tomori such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063555266	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PSY003452 (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. Dr Rolake O Tomori allows following entities to bill medicare on her behalf.

Entity Name	Balancing Life Psychology
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649991589 PECOS PAC ID: 5698128767 Enrollment ID: O20240125002163

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. Dr Rolake O Tomori 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
Dr Rolake O Tomori, PSYD Po Box 6181, Marietta, GA 30065-0181 Ph: (916) 912-8906	Dr Rolake O Tomori, PSYD 1551 Juliette Dr, Stone Mountain, GA 30083-1509 Ph: (678) 639-2257

Reviews and Comments

Psychologist in Stone Mountain, GA

Dr. Sonya Burgess Rowland, PH.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1012 N. Main Street, Stone Mountain, GA 30083 Phone: 678-575-3550 Fax: 404-297-4002
Dr. Lolita Michelle Rhone, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5954 Magnolia Rdg, Stone Mountain, GA 30087 Phone: 678-571-0164
Dr. Kerry-ann Yolande Anderson, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2388 Rockbridge Rd, Stone Mountain, GA 30087 Phone: 770-355-8409
Dr. Carolyn Dunbar, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1324 Rockbridge Rd, Stone Mountain, GA 30087 Phone: 404-683-9218
Rosemarie Farngalo, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1650 S Hidden Hills Pkwy, Stone Mountain, GA 30088 Phone: 678-508-7110
Dr. Gwendolyn J Childs, M.A., PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1012 Main St, Stone Mountain, GA 30083 Phone: 770-498-2865 Fax: 770-498-8865

Dr Rolake O Tomori, PSYD - Medicare Psychologist in Stone Mountain, GA