Dr Tina Kay Head, PHD is a medicare enrolled "Psychologist - Clinical" provider in Central Square, New York. Her current practice location is
20 County Route 37, Central Square, New York. You can reach out to her office (for appointments etc.) via phone at
(315) 751-9777.
Dr Tina Kay Head is licensed to practice in New York (license number 018995) 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 1427356054.
Healthcare Provider's Profile
| Full Name | Dr Tina Kay Head |
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| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 20 County Route 37, Central Square, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1427356054
- Provider Enumeration Date: 03/07/2011
- Last Update Date: 05/16/2011
Medicare PECOS Information:
- PECOS PAC ID: 4587840137
- Enrollment ID: I20110516000342
Medical Identifiers
Medical identifiers for Dr Tina Kay Head such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1427356054 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103T00000X | Psychologist | 018995 (New York) | Secondary |
| 103TA0700X | Psychologist - Adult Development & Aging | 018995 (New York) | Secondary |
| 103TC0700X | Psychologist - Clinical | 018995 (New York) | Primary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 018995 (New York) | Secondary |
| 103TF0000X | Psychologist - Family | 018995 (New York) | Secondary |
| 103TM1800X | Psychologist - Intellectual & Developmental Disabilities | 018995 (New York) | Secondary |
| 103TP2701X | Psychologist - Group Psychotherapy | 018995 (New York) | Secondary |
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 Tina Kay Head allows following entities to bill medicare on her behalf.
| Entity Name | Oswego Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1871678458
PECOS PAC ID: 4981686045
Enrollment ID: O20040602001275 |
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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 Tina Kay Head 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 Tina Kay Head, PHD
20 County Route 37,
Central Square, NY 13036-3130
Ph: (315) 751-9777 | Dr Tina Kay Head, PHD
20 County Route 37,
Central Square, NY 13036-3130
Ph: (315) 751-9777 |
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