Amy L Tackett, PHD, LP in Salida, CA - Medicare Clinical Psychologist Provider

Amy L Tackett, PHD, LP is a medicare enrolled "Psychologist - Forensic" provider in Salida, California. She graduated from medical school in 2007 and has 19 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Pacific Coast Psychiatric Associates Inc and her current practice location is 5222 Pirrone Ct Ste 101a, Salida, California. You can reach out to her office (for appointments etc.) via phone at (925) 282-1778.

Amy L Tackett is licensed to practice in California (license number 26063) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1144642042.

Contact Information

	Amy L Tackett, PHD, LP
	5222 Pirrone Ct Ste 101a, Salida, CA 95368-9072
	(925) 282-1778
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Amy L Tackett
Gender	Female
Speciality	Clinical Psychologist
Experience	19 Years
Location	5222 Pirrone Ct Ste 101a, Salida, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Amy L Tackett graduated from medical school in 2007

NPI Data:

NPI Number: 1144642042
Provider Enumeration Date: 01/11/2014
Last Update Date: 05/19/2026

Medicare PECOS Information:

PECOS PAC ID: 2769702745
Enrollment ID: I20150514002863

Medical Identifiers

Medical identifiers for Amy L 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
103TF0200X	Psychologist - Forensic	26063 (California)	Primary
103T00000X	Psychologist	26063 (California)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Pacific Coast Psychiatric Associates Inc	2567469174	610

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 L Tackett allows following entities to bill medicare on her behalf.

Entity Name	Pacific Coast Psychiatric Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI 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. Amy L 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 L Tackett, PHD, LP 5222 Pirrone Ct Ste 101a, Salida, CA 95368-9072 Ph: () -	Amy L Tackett, PHD, LP 5222 Pirrone Ct Ste 101a, Salida, CA 95368-9072 Ph: (925) 282-1778

Reviews and Comments

Psychologist in Salida, CA

Ofelia Gomez, SCHOOL PSYCHOLOGIST Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4801 Sisk Rd, Salida, CA 95368 Phone: 209-545-0339
Dr. Brock L Pistel, PHD, LP Psychologist Medicare: May Accept Medicare Assignments Practice Location: 5222 Pirrone Ct Ste 101a, Salida, CA 95368 Phone: 925-282-1778
Jose Ismael Correa, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4801 Sisk Rd, Salida, CA 95368 Phone: 209-545-0339
Roger J Carey, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 5222 Pirrone Ct Ste 101a, Salida, CA 95368 Phone: 925-282-1778 Fax: 415-296-5299
Dr. Jorge A Barragan, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4643 Broadway, Salida, CA 95368 Phone: 209-543-3663 Fax: 209-543-3640

Amy L Tackett, PHD, LP - Medicare Psychologist in Salida, CA