Meredith Porter, PSYD is a medicare enrolled "Psychologist" provider in Walnut Creek, California. Her current practice location is
710 S Broadway Ste 300, Walnut Creek, California. You can reach out to her office (for appointments etc.) via phone at
(252) 954-6199.
Meredith Porter 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 1598077463.
Healthcare Provider's Profile
| Full Name | Meredith Porter |
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| Gender | Female |
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| Speciality | Psychologist |
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| Location | 710 S Broadway Ste 300, Walnut Creek, 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: 1598077463
- Provider Enumeration Date: 07/08/2010
- Last Update Date: 10/02/2022
Medicare PECOS Information:
- PECOS PAC ID: 9931506565
- Enrollment ID: I20210924001798
Medical Identifiers
Medical identifiers for Meredith Porter such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1598077463 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | (* (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. Meredith Porter allows following entities to bill medicare on her behalf.
| Entity Name | Permanente Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
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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. Meredith Porter 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 |
Meredith Porter, PSYD 710 S Broadway Ste 300, Walnut Creek, CA 94596-5229 Ph: (925) 295-4619 | Meredith Porter, PSYD 710 S Broadway Ste 300, Walnut Creek, CA 94596-5229 Ph: (252) 954-6199 |
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