Macy Kaitlyn Minnocci, in San Diego, CA - Medicare Psychologist Provider

Macy Kaitlyn Minnocci, is a medicare enrolled "Psychologist" provider in San Diego, California. Her current practice location is 734 10th Ave, San Diego, California. You can reach out to her office (for appointments etc.) via phone at (619) 239-4663.

Macy Kaitlyn Minnocci is licensed to practice in Texas (license number 40624) 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 1326520107.

Contact Information

	Macy Kaitlyn Minnocci,
	734 10th Ave, San Diego, CA 92101-6502
	(619) 239-4663
	(619) 239-3045

Map and Direction

Healthcare Provider's Profile

Full Name	Macy Kaitlyn Minnocci
Gender	Female
Speciality	Psychologist
Location	734 10th Ave, San Diego, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1326520107
Provider Enumeration Date: 08/29/2018
Last Update Date: 10/09/2025

Medicare PECOS Information:

PECOS PAC ID: 9234654419
Enrollment ID: I20250421001556

Medical Identifiers

Medical identifiers for Macy Kaitlyn Minnocci such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326520107	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	40624 (Texas)	Primary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	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. Macy Kaitlyn Minnocci allows following entities to bill medicare on her behalf.

Entity Name	Deer Oaks Geriatric Services P C
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134169287 PECOS PAC ID: 9234034075 Enrollment ID: O20031204000440

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. Macy Kaitlyn Minnocci 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
Macy Kaitlyn Minnocci, 11545 Windcrest Ln Apt 193, San Diego, CA 92128-4241 Ph: (408) 594-8686	Macy Kaitlyn Minnocci, 734 10th Ave, San Diego, CA 92101-6502 Ph: (619) 239-4663

Reviews and Comments

Psychologist in San Diego, CA

Dr. Douglas Brackmann, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3101 4th Ave, San Diego, CA 92103 Phone: 858-735-1667 Fax: 619-542-0332
Barton Palmer, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: Vasdhs Division Of Geriatric Psychiatry 116a, 3350 La Jolla Village Drive, San Diego, CA 92161 Phone: 858-552-8585
Dr. Lina Kogan-sbarbaro, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1050 University Ave Ste E107, San Diego, CA 92103 Phone: 858-504-7743 Fax: 858-216-1928
Dr. Raymond Peng, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 6540 Lusk Blvd Ste C159, San Diego, CA 92121 Phone: 858-888-9683
Meghan Hammel, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 200 West Arbor Drive, San Diego, CA 92103 Phone: 619-543-2827
Dr. Rodger Stacy Questin, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3702 4th Ave, San Diego, CA 92103 Phone: 760-607-7257
Dr. Rafael Elias Olivares Chayeb, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 480 Alta Rd, San Diego, CA 92179 Phone: 619-691-6947

Macy Kaitlyn Minnocci, - Medicare Psychologist in San Diego, CA