Dr Mliss M Doman, PSYD in Apple Valley, CA - Medicare Psychologist Provider

Dr Mliss M Doman, PSYD is a medicare enrolled "Psychologist" provider in Apple Valley, California. Her current practice location is 16366 Ridge View Dr, Apple Valley, California. You can reach out to her office (for appointments etc.) via phone at (760) 900-1963.

Dr Mliss M Doman is licensed to practice in California (license number 25598) 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 1013698042.

Contact Information

	Dr Mliss M Doman, PSYD
	16366 Ridge View Dr, Apple Valley, CA 92307-1243
	(760) 900-1963
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Mliss M Doman
Gender	Female
Speciality	Psychologist
Location	16366 Ridge View Dr, Apple Valley, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013698042
Provider Enumeration Date: 07/31/2023
Last Update Date: 07/31/2023

Medicare PECOS Information:

PECOS PAC ID: 6406200591
Enrollment ID: I20230922002183

Medical Identifiers

Medical identifiers for Dr Mliss M Doman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013698042	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	25598 (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 Mliss M Doman allows following entities to bill medicare on her behalf.

Entity Name	Evolving Pathways Psychology Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194303446 PECOS PAC ID: 6002212115 Enrollment ID: O20210914003366

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 Mliss M Doman 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 Mliss M Doman, PSYD 12277 Apple Valley Rd # 133, Apple Valley, CA 92308-1701 Ph: (760) 900-1963	Dr Mliss M Doman, PSYD 16366 Ridge View Dr, Apple Valley, CA 92307-1243 Ph: (760) 900-1963

Reviews and Comments

Psychologist in Apple Valley, CA

Fatima Lagunas Torres, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 16095 Tuscola Rd, Apple Valley, CA 92307 Phone: 760-269-4242
Dr. Jeanne M Tissier, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 18930 Highway18, Suite 106, Apple Valley, CA 92307 Phone: 760-242-5150
Karina Lampitt, MS Psychologist Medicare: Not Enrolled in Medicare Practice Location: 21116 Pahute Rd, 21116 Pahute Road, Apple Valley, CA 92308 Phone: 760-217-9030
Dr. Stacy S. Forcino, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 18484 Us Highway 18, Ste 210, Apple Valley, CA 92307 Phone: 760-995-5134 Fax: 888-843-0969
Elizabeth Garrett, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 23745 Pala Ln, Apple Valley, CA 92307 Phone: 951-809-9238
Jeanette Pimentel, BEHAVIORAL THERAPIST Psychologist Medicare: Not Enrolled in Medicare Practice Location: 16095 Tuscola Rd, Apple Valley, CA 92307 Phone: 760-923-3577

Dr Mliss M Doman, PSYD - Medicare Psychologist in Apple Valley, CA