Amara Coopersmith, MA is a medicare enrolled "Psychologist - Clinical" provider in Camarillo, California. She graduated from healthcare school in 2021 and has 4 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Silver Lake Psychology Inc and her current practice location is
1722 S Lewis Rd, Camarillo, California. You can reach out to her office (for appointments etc.) via phone at
(805) 598-6702.
Amara Coopersmith is licensed to practice in California (license number 34621) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1689153348.
Healthcare Provider's Profile
| Full Name | Amara Coopersmith |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 4 Years |
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| Location | 1722 S Lewis Rd, Camarillo, California |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Amara Coopersmith graduated from medical school in 2021
NPI Data:
- NPI Number: 1689153348
- Provider Enumeration Date: 08/13/2018
- Last Update Date: 11/01/2023
Medicare PECOS Information:
- PECOS PAC ID: 5799137881
- Enrollment ID: I20240112004038
Medical Identifiers
Medical identifiers for Amara Coopersmith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1689153348 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (California) | Secondary |
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | 34621 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Silver Lake Psychology Inc | 7012250582 | 20 |
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. Amara Coopersmith allows following entities to bill medicare on her behalf.
| Entity Name | Silver Lake Psychology Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1932651817
PECOS PAC ID: 7012250582
Enrollment ID: O20190524000695 |
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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. Amara Coopersmith 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 |
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Amara Coopersmith, MA
15339 Saticoy St,
Van Nuys, CA 91406-3345
Ph: (818) 267-2647 | Amara Coopersmith, MA
1722 S Lewis Rd,
Camarillo, CA 93012-8520
Ph: (805) 598-6702 |
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