Dr Icelini Stavers-sosa, MD in Oakland, CA - Medicare Psychiatry & Neurology

Dr Icelini Stavers-sosa, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Oakland, California. Her current practice location is 1200 Clay St, Oakland, California. You can reach out to her office (for appointments etc.) via phone at (813) 445-6182.

Dr Icelini Stavers-sosa is licensed to practice in California (license number 175151) 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 1508067273.

Contact Information

	Dr Icelini Stavers-sosa, MD
	1200 Clay St, Oakland, CA 94612-1400
	(813) 445-6182
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Icelini Stavers-sosa
Gender	Female
Speciality	Psychiatry & Neurology - Psychiatry
Location	1200 Clay St, Oakland, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508067273
Provider Enumeration Date: 05/30/2007
Last Update Date: 05/06/2022

Medicare PECOS Information:

PECOS PAC ID: 4385886084
Enrollment ID: I20220607001566

Medical Identifiers

Medical identifiers for Dr Icelini Stavers-sosa such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508067273	NPI	-	NPPES
03280357	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	270537 (New York)	Secondary
2084P0800X	Psychiatry & Neurology - Psychiatry	175151 (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 Icelini Stavers-sosa allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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 Icelini Stavers-sosa 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 Icelini Stavers-sosa, MD 1200 Clay St, Oakland, CA 94612-1400 Ph: (813) 445-6182	Dr Icelini Stavers-sosa, MD 1200 Clay St, Oakland, CA 94612-1400 Ph: (813) 445-6182

Reviews and Comments

Psychiatry & Neurology Doctors in Oakland, CA

Mohammad Israr Sheikh, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2000 Embarcadero Ste 400, Oakland, CA 94606 Phone: 510-567-6850 Fax: 510-567-6850
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Dr. Miles E Driscoll, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1800 Harrison St Fl 7th, Oakland, CA 94612 Phone: 510-625-5356
Dr. Rachel Burdick Vinkey, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 5655 College Ave, Suite 316d, Oakland, CA 94618 Phone: 510-368-1884
Iris Yung, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3701 Broadway, Oakland, CA 94611 Phone: 800-777-4912

Dr Icelini Stavers-sosa, MD - Medicare Psychiatry & Neurology in Oakland, CA