Dr Tracy D Thiem, PHD in Petaluma, CA - Medicare Psychologist Provider

Dr Tracy D Thiem, PHD is a medicare enrolled "Psychologist - Clinical" provider in Petaluma, California. Her current practice location is 7 4th St, Suite 7, Petaluma, California. You can reach out to her office (for appointments etc.) via phone at (707) 637-3022.

Dr Tracy D Thiem is licensed to practice in California (license number 24037) 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 1023307766.

Contact Information

	Dr Tracy D Thiem, PHD
	7 4th St, Suite 7, Petaluma, CA 94952-3043
	(707) 637-3022
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Tracy D Thiem
Gender	Female
Speciality	Psychologist - Clinical
Location	7 4th St, Petaluma, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023307766
Provider Enumeration Date: 04/04/2011
Last Update Date: 02/13/2015

Medicare PECOS Information:

PECOS PAC ID: 7416269477
Enrollment ID: I20150702002527

Medical Identifiers

Medical identifiers for Dr Tracy D Thiem such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023307766	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	24037 (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 Tracy D Thiem allows following entities to bill medicare on her behalf.

Entity Name	Memory Check Psychological Services, A Professional Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912184219 PECOS PAC ID: 7416856422 Enrollment ID: O20040107001021

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 Tracy D Thiem 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 Tracy D Thiem, PHD 7 4th St, Suite 7, Petaluma, CA 94952-3043 Ph: (707) 637-3022	Dr Tracy D Thiem, PHD 7 4th St, Suite 7, Petaluma, CA 94952-3043 Ph: (707) 637-3022

Reviews and Comments

Psychologist in Petaluma, CA

Annette A Strack, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 318 Western Ave, Petaluma, CA 94952 Phone: 707-762-6216
Dr. Brent Taylor Cox, M.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 111 Liberty St, Petaluma, CA 94952 Phone: 707-763-2801 Fax: 707-766-8831
Natalie Conrad, PSYCHOLOGIST Psychologist Medicare: Not Enrolled in Medicare Practice Location: 365 Kuck Ln, Petaluma, CA 94952 Phone: 707-795-6954
Dr. Manjit K. Kaura, Psychologist Medicare: Accepting Medicare Assignments Practice Location: 523 Hayes Ln, Petaluma, CA 94952 Phone: 800-257-8715 Fax: 800-819-1655
Dr. Sharon Anne Sterne, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1 Bodega Ave, Petaluma, CA 94952 Phone: 707-766-7602
Dr. Julia Winston Melody, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 523 Hayes Ln, Petaluma, CA 94952 Phone: 800-257-8715 Fax: 800-819-1655

Dr Tracy D Thiem, PHD - Medicare Psychologist in Petaluma, CA