Michael David Farjellah, PHD is a medicare enrolled "Psychologist - Clinical" provider in Lago Vista, Texas. 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 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 1447400478.
Healthcare Provider's Profile
Full Name | Michael David Farjellah |
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Gender | Male |
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Speciality | Psychologist - Clinical |
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Location | 8103 Purple Aster Pass, Lago Vista, Texas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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 |
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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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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