Dr Shoshana D Beran, PSYD in Mesa, AZ - Medicare Psychologist Provider

Dr Shoshana D Beran, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Mesa, Arizona. Her current practice location is 1910 S Stapley Dr Ste 221, Mesa, Arizona. You can reach out to her office (for appointments etc.) via phone at (914) 362-1083.

Dr Shoshana D Beran is licensed to practice in New York (license number 01939201) 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 1043573611.

Contact Information

	Dr Shoshana D Beran, PSYD
	1910 S Stapley Dr Ste 221, Mesa, AZ 85204-6680
	(914) 362-1083
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Shoshana D Beran
Gender	Female
Speciality	Psychologist - Clinical
Location	1910 S Stapley Dr Ste 221, Mesa, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043573611
Provider Enumeration Date: 06/19/2012
Last Update Date: 12/11/2023

Medicare PECOS Information:

PECOS PAC ID: 1759547763
Enrollment ID: I20120719000091

Medical Identifiers

Medical identifiers for Dr Shoshana D Beran such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043573611	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	01939201 (New York)	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 Shoshana D Beran allows following entities to bill medicare on her behalf.

Entity Name	Jeffrey M. Simon Phd, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720194335 PECOS PAC ID: 4385530351 Enrollment ID: O20040225001248

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 Shoshana D Beran 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 Shoshana D Beran, PSYD 754 W Henderson Ln, Gilbert, AZ 85233-5348 Ph: (914) 362-1083	Dr Shoshana D Beran, PSYD 1910 S Stapley Dr Ste 221, Mesa, AZ 85204-6680 Ph: (914) 362-1083

Reviews and Comments

Psychologist in Mesa, AZ

Dr. Wade Christian Lueck, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2500 S Power Rd Ste 112, Mesa, AZ 85209 Phone: 480-382-3008
Dr. Julie Ann Cajolet-eckhardt, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3048 E Baseline Rd, Suite 107, Mesa, AZ 85204 Phone: 323-475-8543 Fax: 602-293-3271
Christine N Moyer, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 303 N Centennial Way, Mesa, AZ 85201 Phone: 480-649-3111 Fax: 480-649-3113
Dr. Anne E. Harris, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1930 S Alma School Rd, Suite B 214, Mesa, AZ 85210 Phone: 602-548-3937
David S Conroy, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1313 W Medina Ave, Mesa, AZ 85202 Phone: 480-472-3906
Miss Meghan A Kimball, EDS Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1025 N Country Club Dr, Mesa, AZ 85201 Phone: 480-472-2037
Delaney Samuelson, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4021 N Stone Peak Cir, Mesa, AZ 85207 Phone: 562-760-5700

Dr Shoshana D Beran, PSYD - Medicare Psychologist in Mesa, AZ