Matthys Alejandro Moreno-derks, - Medicare Psychologist in San Jacinto, CA

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Matthys Alejandro Moreno-derks, is a medicare enrolled "Psychologist" provider in San Jacinto, California. His current practice location is 1695 S San Jacinto Ave Ste A-d&f, San Jacinto, California. You can reach out to his office (for appointments etc.) via phone at (951) 330-3100.

Matthys Alejandro Moreno-derks is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1790085363.

Contact Information

Matthys Alejandro Moreno-derks,
1695 S San Jacinto Ave Ste A-d&f,
San Jacinto, CA 92583-5103
(951) 330-3100
(951) 350-1050

Map and Direction




Healthcare Provider's Profile

Full NameMatthys Alejandro Moreno-derks
GenderMale
SpecialityPsychologist
Location1695 S San Jacinto Ave Ste A-d&f, San Jacinto, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1790085363
  • Provider Enumeration Date: 10/28/2010
  • Last Update Date: 03/04/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 8921415530
  • Enrollment ID: I20210326002006

Medical Identifiers

Medical identifiers for Matthys Alejandro Moreno-derks such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790085363NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist (* (Not Available))Primary
390200000XStudent 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. Matthys Alejandro Moreno-derks allows following entities to bill medicare on his behalf.
Entity NameTobias Moeller-bertram Md Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922440684
PECOS PAC ID: 1456586064
Enrollment ID: O20140128000459

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. Matthys Alejandro Moreno-derks 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 AddressPractice Location Address
Matthys Alejandro Moreno-derks,
1695 S San Jacinto Ave Ste A-d&f,
San Jacinto, CA 92583-5103

Ph: (951) 330-3100		Matthys Alejandro Moreno-derks,
1695 S San Jacinto Ave Ste A-d&f,
San Jacinto, CA 92583-5103

Ph: (951) 330-3100

Reviews and Comments


Psychologist in San Jacinto, CA

Martin Giffin,
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 102 W Main St, San Jacinto, CA 92583
Phone: 951-663-4827    
Dr. Robert R Shelton, PSY.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 343 E Main St, Suite 105, San Jacinto, CA 92583
Phone: 951-654-2277    Fax: 951-654-1660
Giovanna Balboa,
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 1377 Flint Ct, San Jacinto, CA 92583
Phone: 909-490-1205    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.