Dr Jacob Andrew Eide, PSYD in Mammoth Lakes, CA - Medicare Clinical Psychologist Provider

Dr Jacob Andrew Eide, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Mammoth Lakes, California. He graduated from medical school in 2004 and has 20 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Southern Mono Health Care District and his current practice location is 85 Sierra Park Rd, Mammoth Lakes, California. You can reach out to his office (for appointments etc.) via phone at (760) 924-4333.

Dr Jacob Andrew Eide is licensed to practice in California (license number PSY27059) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1760701023.

Contact Information

	Dr Jacob Andrew Eide, PSYD
	85 Sierra Park Rd, Mammoth Lakes, CA 93546
	(760) 924-4333
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jacob Andrew Eide
Gender	Male
Speciality	Clinical Psychologist
Experience	20 Years
Location	85 Sierra Park Rd, Mammoth Lakes, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Jacob Andrew Eide graduated from medical school in 2004

NPI Data:

NPI Number: 1760701023
Provider Enumeration Date: 05/26/2010
Last Update Date: 12/08/2020

Medicare PECOS Information:

PECOS PAC ID: 1850417171
Enrollment ID: I20180201003192

Medical Identifiers

Medical identifiers for Dr Jacob Andrew Eide such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760701023	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PSY27059 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southern Mono Health Care District	9830002401	65

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 Jacob Andrew Eide allows following entities to bill medicare on his behalf.

Entity Name	Southern Mono Health Care District
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962444059 PECOS PAC ID: 9830002401 Enrollment ID: O20031118001160

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 Jacob Andrew Eide 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 Jacob Andrew Eide, PSYD Po Box 660, Mammoth Lakes, CA 93546-0660 Ph: (760) 924-4333	Dr Jacob Andrew Eide, PSYD 85 Sierra Park Rd, Mammoth Lakes, CA 93546 Ph: (760) 924-4333

Reviews and Comments

Psychologist in Mammoth Lakes, CA

Callie Amanda Olpin, MFT ASSOCIATE Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1290 Tavern Road, Mammoth Lakes, CA 93546 Phone: 760-924-1740
Ms. Christina Marina Caro, PH.D. Psychologist Medicare: May Accept Medicare Assignments Practice Location: 272 Sierra Manor Rd # C, Mammoth Lakes, CA 93546 Phone: 408-768-8636
Dr. Judith Z Clark, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 126 Old Mammoth Rd, Suite 214, Mammoth Lakes, CA 93546 Phone: 760-924-8503 Fax: 760-924-0541
E. Ann Gimpel, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 452 Old Mammoth Road, 3rd Floor, Mammoth Lakes, CA 93546 Phone: 760-924-1740 Fax: 760-924-1741
Rachel Canning, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 85 Sierra Park Rd, Mammoth Lakes, CA 93546 Phone: 760-924-4071
Dr. Nancy Thomas Akalin, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 85 Sierra Park Road, Mammoth Hospital, Mammoth Lakes, CA 93546 Phone: 760-924-4000

Dr Jacob Andrew Eide, PSYD - Medicare Psychologist in Mammoth Lakes, CA