Michael David Farjellah, PHD is a medicare enrolled "Psychologist - Clinical" provider in Lago Vista, Texas. He graduated from medical school in 2011 and has 15 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Faithful Therapy Tx Corporation and his current practice location is
8103 Purple Aster Pass, Lago Vista, Texas. You can reach out to his office (for appointments etc.) via phone at
(210) 844-7028.
Michael David Farjellah is licensed to practice in Texas (license number 40363) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1447400478.
Healthcare Provider's Profile
| Full Name | Michael David Farjellah |
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| Gender | Male |
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| Speciality | Clinical Psychologist |
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| Experience | 15 Years |
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| Location | 8103 Purple Aster Pass, Lago Vista, Texas |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Michael David Farjellah graduated from medical school in 2011
NPI Data:
- NPI Number: 1447400478
- Provider Enumeration Date: 09/26/2008
- Last Update Date: 10/07/2024
Medicare PECOS Information:
- PECOS PAC ID: 9436686821
- Enrollment ID: I20241224001640
Medical Identifiers
Medical identifiers for Michael David Farjellah such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1447400478 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 103TC0700X | Psychologist - Clinical | 247249 (Kentucky) | Secondary |
| 103TC0700X | Psychologist - Clinical | 40363 (Texas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Faithful Therapy Tx Corporation | 0446778328 | 3 |
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. Michael David Farjellah allows following entities to bill medicare on his behalf.
| Entity Name | Deer Oaks Geriatric Services P C |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134169287 PECOS PAC ID: 9234034075 Enrollment ID: O20031204000440 |
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| Entity Name | M2jc Psychological Services Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1124847959 PECOS PAC ID: 0547797722 Enrollment ID: O20241230002298 |
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| Entity Name | Faithful Therapy Tx Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1811706716 PECOS PAC ID: 0446778328 Enrollment ID: O20250514002592 |
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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. Michael David Farjellah 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 |
Michael David Farjellah, PHD 8103 Purple Aster Pass, Lago Vista, TX 78645-2294 Ph: (210) 844-7028 | Michael David Farjellah, PHD 8103 Purple Aster Pass, Lago Vista, TX 78645-2294 Ph: (210) 844-7028 |
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