Dr Tara Elise Rezza, PSYD is a medicare enrolled "Psychologist" provider in Buffalo, New York. Her current practice location is
1028 Main St Fl 2, Buffalo, New York. You can reach out to her office (for appointments etc.) via phone at
(716) 859-5465.
Dr Tara Elise Rezza is licensed to practice in New York (license number 026318) 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 1811472566.
Healthcare Provider's Profile
| Full Name | Dr Tara Elise Rezza |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist |
|---|
| Location | 1028 Main St Fl 2, Buffalo, New York |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1811472566
- Provider Enumeration Date: 09/28/2018
- Last Update Date: 03/11/2024
Medicare PECOS Information:
- PECOS PAC ID: 4284175480
- Enrollment ID: I20240916000584
Medical Identifiers
Medical identifiers for Dr Tara Elise Rezza such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811472566 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | 026318 (New York) | 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 Tara Elise Rezza allows following entities to bill medicare on her behalf.
| Entity Name | Kaleida Health |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1639209596
PECOS PAC ID: 7810805280
Enrollment ID: O20031105000212 |
|---|
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 Tara Elise Rezza 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 Tara Elise Rezza, PSYD
1028 Main St Fl 2,
Buffalo, NY 14202-1102
Ph: (716) 859-5465 | Dr Tara Elise Rezza, PSYD
1028 Main St Fl 2,
Buffalo, NY 14202-1102
Ph: (716) 859-5465 |
Reviews and Comments