Moremi Abeni Gravesandy Vassall, MD - Medicare Psychiatry & Neurology in Emeryville, CA

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Moremi Abeni Gravesandy Vassall, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Emeryville, California. Her current practice location is 1480 64th St Ste 150, Emeryville, California. You can reach out to her office (for appointments etc.) via phone at (925) 282-1778.

Moremi Abeni Gravesandy Vassall is licensed to practice in California (license number A177163) 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 1407350663.

Contact Information

Moremi Abeni Gravesandy Vassall, MD
1480 64th St Ste 150,
Emeryville, CA 94608-2267
(925) 282-1778
(415) 296-5299

Map and Direction




Physician's Profile

Full NameMoremi Abeni Gravesandy Vassall
GenderFemale
SpecialityPsychiatry & Neurology - Psychiatry
Location1480 64th St Ste 150, Emeryville, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1407350663
  • Provider Enumeration Date: 03/22/2018
  • Last Update Date: 05/10/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2264785351
  • Enrollment ID: I20220829002596

Medical Identifiers

Medical identifiers for Moremi Abeni Gravesandy Vassall such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407350663NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry 321980 (Louisiana)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
2084P0800XPsychiatry & Neurology - Psychiatry A177163 (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. Moremi Abeni Gravesandy Vassall allows following entities to bill medicare on her behalf.
Entity NameAlameda Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740332931
PECOS PAC ID: 3779494521
Enrollment ID: O20031110000764
Entity NameCatholic Charities Of Santa Clara County
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225155112
PECOS PAC ID: 3274525431
Enrollment ID: O20040330001689
Entity NameContra Costa County
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376620336
PECOS PAC ID: 8628052974
Enrollment ID: O20050707001058
Entity NamePacific Coast Psychiatric Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023125465
PECOS PAC ID: 2567469174
Enrollment ID: O20061024000383

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. Moremi Abeni Gravesandy Vassall 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
Moremi Abeni Gravesandy Vassall, MD
1480 64th St Ste 150,
Emeryville, CA 94608-2267

Ph: (925) 282-1778		Moremi Abeni Gravesandy Vassall, MD
1480 64th St Ste 150,
Emeryville, CA 94608-2267

Ph: (925) 282-1778

Reviews and Comments


Psychiatry & Neurology Doctors in Emeryville, CA

Elias A Giraldo, MD
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Phone: 800-451-7811    Fax: 888-777-2067
Roshanak Ramezani, MD, MS
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Phone: 510-851-7501    
Terri Nicole King, MD
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Practice Location: 1480 64th St Ste 150, Emeryville, CA 94608
Phone: 925-282-1778    Fax: 415-296-5299
Shahla Moghbel,
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Practice Location: 2100 Powell St, Emeryville, CA 94608
Phone: 510-350-2600    
Dr. Jamie Lacsina, DO
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Practice Location: 1480 64th St Ste 150, Emeryville, CA 94608
Phone: 415-296-5290    

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.