Dr Tara Ann Miskovich, PHD in Mcclellan, CA - Medicare Psychologist Provider

Dr Tara Ann Miskovich, PHD is a medicare enrolled "Psychologist - Clinical" provider in Mcclellan, California. Her current practice location is 5342 Dudley Blvd, Mcclellan, California. You can reach out to her office (for appointments etc.) via phone at (916) 561-7629.

Dr Tara Ann Miskovich is licensed to practice in California (license number 31323) 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 1538702881.

Contact Information

	Dr Tara Ann Miskovich, PHD
	5342 Dudley Blvd, Mcclellan, CA 95652-1012
	(916) 561-7629
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Tara Ann Miskovich
Gender	Female
Speciality	Psychologist - Clinical
Location	5342 Dudley Blvd, Mcclellan, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1538702881
Provider Enumeration Date: 10/18/2019
Last Update Date: 10/18/2019

Medicare PECOS Information:

PECOS PAC ID: 7719371376
Enrollment ID: I20220223002986

Medical Identifiers

Medical identifiers for Dr Tara Ann Miskovich such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538702881	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	31323 (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 Tara Ann Miskovich 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 Tara Ann Miskovich 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 Tara Ann Miskovich, PHD 5342 Dudley Blvd, Mcclellan, CA 95652-1012 Ph: () -	Dr Tara Ann Miskovich, PHD 5342 Dudley Blvd, Mcclellan, CA 95652-1012 Ph: (916) 561-7629

Reviews and Comments

Psychologist in Mcclellan, CA

Jennifer R Marzion, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5112 Arnold Ave Unit A, Mcclellan, CA 95652 Phone: 916-516-6193
Dr. Karen Shebuski, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5342 Dudley Blvd Bldg 88, Mcclellan, CA 95652 Phone: 916-561-7400
Mary Kate Humphreys, EDS, NCSP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5112 Arnold Ave Ste A, Mcclellan, CA 95652 Phone: 916-844-5630
Kraig Roscoe, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5112 Arnold Ave Ste A, Mcclellan, CA 95652 Phone: 916-286-5129
Ms. Janelle Kianna Fisher, Psychologist Medicare: Accepting Medicare Assignments Practice Location: 4931 Arnold Ave Ste 10, Mcclellan, CA 95652 Phone: 916-265-4008

Dr Tara Ann Miskovich, PHD - Medicare Psychologist in Mcclellan, CA