Dr Tara Livengood, PSYD in Panama City, FL - Medicare Psychologist Provider

Dr Tara Livengood, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Panama City, Florida. Her current practice location is 1315 W 17th St Unit 15034, Panama City, Florida. You can reach out to her office (for appointments etc.) via phone at (850) 276-6401.

Dr Tara Livengood is licensed to practice in Florida (license number PY10222) 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 1649750753.

Contact Information

	Dr Tara Livengood, PSYD
	1315 W 17th St Unit 15034, Panama City, FL 32406-7702
	(850) 276-6401
	(850) 792-6916

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Tara Livengood
Gender	Female
Speciality	Psychologist - Clinical
Location	1315 W 17th St Unit 15034, Panama City, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649750753
Provider Enumeration Date: 08/17/2018
Last Update Date: 02/12/2025

Medicare PECOS Information:

PECOS PAC ID: 7315322955
Enrollment ID: I20220916002712

Medical Identifiers

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

Identifier	Type	State	Issuer
1649750753	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	39532 (Texas)	Secondary
103TC0700X	Psychologist - Clinical	PY10222 (Florida)	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 Livengood allows following entities to bill medicare on her behalf.

Entity Name	Dr Livengood Psychology Psyd Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396464756 PECOS PAC ID: 6507241148 Enrollment ID: O20220916002367

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 Livengood 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 Livengood, PSYD 1315 W 17th St Unit 15034, Panama City, FL 32406-7702 Ph: (850) 276-6401	Dr Tara Livengood, PSYD 1315 W 17th St Unit 15034, Panama City, FL 32406-7702 Ph: (850) 276-6401

Reviews and Comments

Psychologist in Panama City, FL

Suellyn Vanderslice, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1202 Christel Ave, Panama City, FL 32401 Phone: 850-785-5325 Fax: 904-212-0170
Dr. Leslie J. Gorman-anich, LMHC Psychologist Medicare: Not Enrolled in Medicare Practice Location: 105 Jazz Dr, Panama City, FL 32405 Phone: 850-522-9719 Fax: 850-522-9718
Kareta Monette Roulhac, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6533 Pridgen St, Panama City, FL 32404 Phone: 850-684-2098
Mr. Andre Shaw Ii, M.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2711 W 15th St, Panama City, FL 32401 Phone: 850-769-6001
Kari Cassidy, M.ED, ED.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2711 W. 15th Street, Panama City, FL 32401 Phone: 850-769-6001
Dr. Cynthia Leigh Wilson, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1022 W 23rd St, Ste 530, Panama City, FL 32405 Phone: 850-541-8520 Fax: 850-541-9928
Peter Hampton, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 525 E 15th St, Panama City, FL 32405 Phone: 850-522-4485 Fax: 850-914-6281

Dr Tara Livengood, PSYD - Medicare Psychologist in Panama City, FL