Aviance Aleata Rhome-boroff, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Richmond, California. Her current practice location is
901 Nevin Ave Dept Of, Richmond, California. You can reach out to her office (for appointments etc.) via phone at
(510) 307-1669.
Aviance Aleata Rhome-boroff is licensed to practice in California (license number 28931) 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 1447485859.
Healthcare Provider's Profile
| Full Name | Aviance Aleata Rhome-boroff |
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| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 901 Nevin Ave Dept Of, Richmond, 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: 1447485859
- Provider Enumeration Date: 05/29/2009
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 7618248394
- Enrollment ID: I20170731001693
Medical Identifiers
Medical identifiers for Aviance Aleata Rhome-boroff such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1447485859 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 101YS0200X | Counselor - School | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | 28931 (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. Aviance Aleata Rhome-boroff allows following entities to bill medicare on her behalf.
| Entity Name | Permanente Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710 |
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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. Aviance Aleata Rhome-boroff 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 |
|---|
Aviance Aleata Rhome-boroff, PSYD
901 Nevin Ave Dept Of,
Richmond, CA 94801-3143
Ph: (510) 307-1669 | Aviance Aleata Rhome-boroff, PSYD
901 Nevin Ave Dept Of,
Richmond, CA 94801-3143
Ph: (510) 307-1669 |
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