Ms Maryam Hafezi, MS,MA in Dublin, CA - Medicare Psychologist Provider

Ms Maryam Hafezi, MS,MA is a medicare enrolled "Psychologist - Cognitive & Behavioral" provider in Dublin, California. Her current practice location is 7668 Frederiksen Ln, Dublin, California. You can reach out to her office (for appointments etc.) via phone at (925) 556-0749.

Ms Maryam Hafezi is licensed to practice in * (Not Available) (license number ) 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 1548405996.

Contact Information

	Ms Maryam Hafezi, MS,MA
	7668 Frederiksen Ln, Dublin, CA 94568-1651
	(925) 556-0749
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Maryam Hafezi
Gender	Female
Speciality	Psychologist - Cognitive & Behavioral
Location	7668 Frederiksen Ln, Dublin, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548405996
Provider Enumeration Date: 12/12/2008
Last Update Date: 12/30/2021

Medicare PECOS Information:

PECOS PAC ID: 1456637180
Enrollment ID: I20170412002401

Medical Identifiers

Medical identifiers for Ms Maryam Hafezi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548405996	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TH0004X	Psychologist - Health	(* (Not Available))	Secondary
103TB0200X	Psychologist - Cognitive & Behavioral	(* (Not Available))	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. Ms Maryam Hafezi allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Ms Maryam Hafezi 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
Ms Maryam Hafezi, MS,MA 7668 Frederiksen Ln, Dublin, CA 94568-1651 Ph: (925) 556-0749	Ms Maryam Hafezi, MS,MA 7668 Frederiksen Ln, Dublin, CA 94568-1651 Ph: (925) 556-0749

Reviews and Comments

Psychologist in Dublin, CA

Dr. Durriyah Khorakiwala, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 7567 Amador Valley Blvd, #202, Dublin, CA 94568 Phone: 925-485-1252
Susan Elizabeth Scatena, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 11740 Dublin Blvd, Suite 206, Dublin, CA 94568 Phone: 925-803-1617 Fax: 925-828-8238
Dr. Robbie Lynn Rhodes, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7950 Dublin Blvd, 3rd Floor, Dublin, CA 94568 Phone: 925-803-4740 Fax: 925-803-4840
Dr. Steven E. Kanofsky, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 11740 Dublin Blvd, Suite 206, Dublin, CA 94568 Phone: 925-682-3697 Fax: 925-828-8238
Dr. Kyung Hee Lee, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 5701 8th Street Camp Parks, Dublin, CA 94568 Phone: 925-833-7500
Ingrid Sandberg, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 11740 Dublin Blvd, Suite 202, Dublin, CA 94568 Phone: 925-479-0508 Fax: 925-479-0587
Dr. Penelope Louise Russell, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5325 Broder Blvd, Dublin, CA 94568 Phone: 925-551-6737

Ms Maryam Hafezi, MS,MA - Medicare Psychologist in Dublin, CA