Amy Tackett, PHD in Visalia, CA - Medicare Psychologist Provider

Amy Tackett, PHD is a medicare enrolled "Psychologist - Clinical" provider in Visalia, California. Her current practice location is 2830 W Cornell Ave, Visalia, California. You can reach out to her office (for appointments etc.) via phone at (559) 303-2939.

Amy Tackett is licensed to practice in California (license number PSY 26063) 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 1144642042.

Contact Information

	Amy Tackett, PHD
	2830 W Cornell Ave, Visalia, CA 93277-4204
	(559) 303-2939
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Amy Tackett
Gender	Female
Speciality	Psychologist - Clinical
Location	2830 W Cornell Ave, Visalia, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144642042
Provider Enumeration Date: 01/11/2014
Last Update Date: 05/20/2023

Medicare PECOS Information:

PECOS PAC ID: 2769702745
Enrollment ID: I20150514002863

Medical Identifiers

Medical identifiers for Amy Tackett such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144642042	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PSY 26063 (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. Amy Tackett allows following entities to bill medicare on her behalf.

Entity Name	Kings Counseling Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528489390 PECOS PAC ID: 3870813850 Enrollment ID: O20150514000666

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. Amy Tackett 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
Amy Tackett, PHD 2345 W Beech Ave # 4064, Visalia, CA 93277-4388 Ph: (559) 303-2939	Amy Tackett, PHD 2830 W Cornell Ave, Visalia, CA 93277-4204 Ph: (559) 303-2939

Reviews and Comments

Psychologist in Visalia, CA

Rajendra Kewallal, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3319 S. Stevenson Ct., Visalia, CA 93277 Phone: 559-905-9626
Dr. Angharad Rees-jones, PH.D Psychologist Medicare: Accepting Medicare Assignments Practice Location: 520 E Tulare Ave, Visalia, CA 93292 Phone: 559-623-0900
Melissa J Durick, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5957 S Mooney Blvd, Visalia, CA 93277 Phone: 559-733-0939 Fax: 559-733-9996
Dr. Stephen Bindler, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3445 W Fairmont Ct, Visalia, CA 93291 Phone: 559-732-1582 Fax: 559-732-1582
Dr. Aaron Christopher Perkins, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 520 E Tulare Ave, Visalia, CA 93292 Phone: 559-301-5649
Elizabeth R Gates, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 631 W Willow Ave, Visalia, CA 93291 Phone: 559-738-0800 Fax: 559-738-0800
Deanna L Patterson, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 520 E Tulare Ave, Visalia, CA 93292 Phone: 559-623-0900

Amy Tackett, PHD - Medicare Psychologist in Visalia, CA