Dr Timothy Allen Petersen, PSYD - Medicare Psychologist in Encino, CA

Dr Timothy Allen Petersen, PSYD is a medicare enrolled "Psychologist" provider in Encino, California. His current practice location is 16055 Ventura Blvd, Suite 920, Encino, California. You can reach out to his office (for appointments etc.) via phone at (818) 377-6330.

Dr Timothy Allen Petersen is licensed to practice in California (license number PSY 19159) 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 1104070119.

Contact Information

Dr Timothy Allen Petersen, PSYD
16055 Ventura Blvd, Suite 920,
Encino, CA 91436-2601
(818) 377-6330
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Timothy Allen Petersen
GenderMale
SpecialityPsychologist
Location16055 Ventura Blvd, Encino, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1104070119
  • Provider Enumeration Date: 11/05/2008
  • Last Update Date: 11/05/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 4880759679
  • Enrollment ID: I20090211000140

Medical Identifiers

Medical identifiers for Dr Timothy Allen Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104070119NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist PSY 19159 (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 Timothy Allen Petersen allows following entities to bill medicare on his behalf.
Entity NameTarzana Treatment Centers Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346842093
PECOS PAC ID: 5991897845
Enrollment ID: O20070822001488

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 Timothy Allen Petersen 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 AddressPractice Location Address
Dr Timothy Allen Petersen, PSYD
16055 Ventura Blvd, Suite 920,
Encino, CA 91436-2601

Ph: (818) 377-6330
Dr Timothy Allen Petersen, PSYD
16055 Ventura Blvd, Suite 920,
Encino, CA 91436-2601

Ph: (818) 377-6330

Reviews and Comments


Psychologist in Encino, CA

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Medicare: Accepting Medicare Assignments
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Practice Location: 17000 Ventura Blvd, Suite 203, Encino, CA 91316
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Dr. Lisa Elaine Wolf, PSY.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 15910 Ventura Blvd, Suite 1017, Encino, CA 91436
Phone: 818-386-6700    Fax: 818-386-6744

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.