Dr Tylene Arloa Cammack-barry, PSYD is a medicare enrolled "Psychologist - Clinical Child & Adolescent" provider in Sacramento, California. Her current practice location is
3671 Business Dr, Sacramento, California. You can reach out to her office (for appointments etc.) via phone at
(916) 734-4207.
Dr Tylene Arloa Cammack-barry is licensed to practice in California (license number PSY21315) 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 1417901679.
Healthcare Provider's Profile
| Full Name | Dr Tylene Arloa Cammack-barry |
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| Gender | Female |
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| Speciality | Psychologist - Clinical Child & Adolescent |
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| Location | 3671 Business Dr, Sacramento, 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: 1417901679
- Provider Enumeration Date: 05/20/2006
- Last Update Date: 01/03/2022
Medicare PECOS Information:
- PECOS PAC ID: 6103195912
- Enrollment ID: I20170711002454
Medical Identifiers
Medical identifiers for Dr Tylene Arloa Cammack-barry such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417901679 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | PSY21315 (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. Dr Tylene Arloa Cammack-barry 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. Dr Tylene Arloa Cammack-barry 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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Dr Tylene Arloa Cammack-barry, PSYD
6409 Blue Poppy Dr,
Elk Grove, CA 95757-8307
Ph: (916) 686-0964 | Dr Tylene Arloa Cammack-barry, PSYD
3671 Business Dr,
Sacramento, CA 95820-2197
Ph: (916) 734-4207 |
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