Dr Maya Sophia Belitski, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Garden City, Idaho. Her current practice location is
Po Box 9169 W. State Street, #2427, Garden City, Idaho. You can reach out to her office (for appointments etc.) via phone at
(310) 869-1549.
Dr Maya Sophia Belitski is licensed to practice in Maine (license number PS2611) 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 1649465741.
Healthcare Provider's Profile
| Full Name | Dr Maya Sophia Belitski |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist - Clinical |
|---|
| Location | Po Box 9169 W. State Street, Garden City, Idaho |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1649465741
- Provider Enumeration Date: 09/11/2007
- Last Update Date: 03/21/2025
Medicare PECOS Information:
- PECOS PAC ID: 4183052756
- Enrollment ID: I20200312001819
Medical Identifiers
Medical identifiers for Dr Maya Sophia Belitski such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1649465741 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | PSY30848 (California) | Secondary |
| 103TC0700X | Psychologist - Clinical | PS2611 (Maine) | 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 Maya Sophia Belitski allows following entities to bill medicare on her behalf.
| Entity Name | Siskiyou Hospital Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1093892275
PECOS PAC ID: 1254223134
Enrollment ID: O20040927000311 |
|---|
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 Maya Sophia Belitski 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 Maya Sophia Belitski, PSYD
16 Lincoln St Ste C,
Brunswick, ME 04011-1900
Ph: (603) 883-0005 | Dr Maya Sophia Belitski, PSYD
Po Box 9169 W. State Street, #2427,
Garden City, ID 83714
Ph: (310) 869-1549 |
Reviews and Comments