Amara Coopersmith, MA is a medicare enrolled "Psychologist - Clinical" provider in Camarillo, California. Her current practice location is
1722 S Lewis Rd, Camarillo, California. You can reach out to her office (for appointments etc.) via phone at
(805) 598-6702.
Amara Coopersmith is licensed to practice in California (license number 34621) 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 1689153348.
Healthcare Provider's Profile
| Full Name | Amara Coopersmith |
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| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 1722 S Lewis Rd, Camarillo, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1689153348
- Provider Enumeration Date: 08/13/2018
- Last Update Date: 11/01/2023
Medicare PECOS Information:
- PECOS PAC ID: 5799137881
- Enrollment ID: I20240112004038
Medical Identifiers
Medical identifiers for Amara Coopersmith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1689153348 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (California) | Secondary |
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | 34621 (California) | 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. Amara Coopersmith allows following entities to bill medicare on her behalf.
| Entity Name | Silver Lake Psychology Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1932651817
PECOS PAC ID: 7012250582
Enrollment ID: O20190524000695 |
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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. Amara Coopersmith 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 |
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Amara Coopersmith, MA
15339 Saticoy St,
Van Nuys, CA 91406-3345
Ph: (818) 267-2647 | Amara Coopersmith, MA
1722 S Lewis Rd,
Camarillo, CA 93012-8520
Ph: (805) 598-6702 |
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