Dr Nichole Lynn Mogharreban, PSYD in Tacoma, WA - Medicare Psychologist Provider

Dr Nichole Lynn Mogharreban, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Tacoma, Washington. Her current practice location is 9040 Jackson Ave Madigan Army Medical Center, Tacoma, Washington. You can reach out to her office (for appointments etc.) via phone at (253) 968-2252.

Dr Nichole Lynn Mogharreban is licensed to practice in Washington (license number PY60446879) 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 1013270180.

Contact Information

	Dr Nichole Lynn Mogharreban, PSYD
	9040 Jackson Ave Madigan Army Medical Center, Tacoma, WA 98431-0001
	(253) 968-2252
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Nichole Lynn Mogharreban
Gender	Female
Speciality	Psychologist - Clinical
Location	9040 Jackson Ave Madigan Army Medical Center, Tacoma, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013270180
Provider Enumeration Date: 06/22/2012
Last Update Date: 12/18/2019

Medicare PECOS Information:

PECOS PAC ID: 9638421324
Enrollment ID: I20181008001787

Medical Identifiers

Medical identifiers for Dr Nichole Lynn Mogharreban such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013270180	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	30199 (California)	Secondary
103TC0700X	Psychologist - Clinical	PY60446879 (Washington)	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. Dr Nichole Lynn Mogharreban allows following entities to bill medicare on her behalf.

Entity Name	Stanford Health Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437292927 PECOS PAC ID: 6709797491 Enrollment ID: O20031124000348

Entity Name	Lpch Medical Group Div Of Lucile
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417907940 PECOS PAC ID: 0840298543 Enrollment ID: O20061113000232

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. Dr Nichole Lynn Mogharreban 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
Dr Nichole Lynn Mogharreban, PSYD 300 Pasteur Dr, Stanford, CA 94305-2200 Ph: (650) 723-4000	Dr Nichole Lynn Mogharreban, PSYD 9040 Jackson Ave Madigan Army Medical Center, Tacoma, WA 98431-0001 Ph: (253) 968-2252

Reviews and Comments

Psychologist in Tacoma, WA

Dr. Michael Anthony D'angelo Jr., PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431 Phone: 253-968-5370
Dr. Hillel Samlan, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 9600 Veterans Dr Sw, Tacoma, WA 98493 Phone: 253-583-3591
Dr. Adam Clay Perkins, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 9040 Jackson Ave, Tacoma, WA 98431 Phone: 253-968-3071
Derek Ryan Anderson, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 9600 Veterans Dr Sw, Rehabilitation Care Service (a-117-rcs), Tacoma, WA 98493 Phone: 253-583-1896
Dr. Robin Ferguson, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 9600 Veterans Dr, Tacoma, WA 98493 Phone: 253-582-8440
Dr. Jeremiah Patrick Norris, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 9601 Steilacoom Blvd Sw, Tacoma, WA 98498 Phone: 253-582-8900 Fax: 253-756-2879

Dr Nichole Lynn Mogharreban, PSYD - Medicare Psychologist in Tacoma, WA