Dr Cynthia Michelle Teeple, in Lodi, CA - Medicare Psychologist Provider

Dr Cynthia Michelle Teeple, is a medicare enrolled "Psychologist - Clinical" provider in Lodi, California. Her current practice location is 16838 N Alpine Rd, Lodi, California. You can reach out to her office (for appointments etc.) via phone at (714) 317-9697.

Dr Cynthia Michelle Teeple is licensed to practice in California (license number PSY #17884) 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 1073700977.

Contact Information

	Dr Cynthia Michelle Teeple,
	16838 N Alpine Rd, Lodi, CA 95240-9332
	(714) 317-9697
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Cynthia Michelle Teeple
Gender	Female
Speciality	Psychologist - Clinical
Location	16838 N Alpine Rd, Lodi, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073700977
Provider Enumeration Date: 09/25/2007
Last Update Date: 02/11/2022

Medicare PECOS Information:

PECOS PAC ID: 4183793466
Enrollment ID: I20080513000789

Medical Identifiers

Medical identifiers for Dr Cynthia Michelle Teeple such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073700977	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PSY #17884 (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 Cynthia Michelle Teeple 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 Cynthia Michelle Teeple 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 Cynthia Michelle Teeple, 16838 N Alpine Rd, Lodi, CA 95240-9332 Ph: (714) 317-9697	Dr Cynthia Michelle Teeple, 16838 N Alpine Rd, Lodi, CA 95240-9332 Ph: (714) 317-9697

Reviews and Comments

Psychologist in Lodi, CA

Bobbie Renee Ables-smith, LEP #3049 Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1305 E Vine St, Lodi, CA 95240 Phone: 209-331-7085
Dr. Marcia M Asgarian, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 755 S Fairmont Ave Ste A3, Lodi, CA 95240 Phone: 290-327-5600 Fax: 209-366-0277
Dr. Rhonda Eyzaguirre, PHD, LEP, NCSP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1305 E Vine St, Lodi, CA 95240 Phone: 415-235-5993
Dr. Franklin Otto Bernhoft, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2000 W Kettleman Ln, Suite 103, Lodi, CA 95242 Phone: 209-366-1516 Fax: 209-366-1516
Dr. Kharis E. Powell, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 12 S Hutchins St, Lodi, CA 95240 Phone: 209-366-1822
Dr. Leyla T Brusatori, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1812 W Kettleman Ln Ste 3, Lodi, CA 95242 Phone: 707-225-2317 Fax: 209-593-3000

Dr Cynthia Michelle Teeple, - Medicare Psychologist in Lodi, CA