Dr Brian Adam Maruyama, PHD is a medicare enrolled "Psychologist" provider in Merced, California. His current practice location is
1168 Sentinel Ct, Merced, California. You can reach out to his office (for appointments etc.) via phone at
(209) 631-6572.
Dr Brian Adam Maruyama is licensed to practice in California (license number 32647) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1063708451.
Healthcare Provider's Profile
| Full Name | Dr Brian Adam Maruyama |
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| Gender | Male |
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| Speciality | Psychologist |
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| Location | 1168 Sentinel Ct, Merced, 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: 1063708451
- Provider Enumeration Date: 06/23/2011
- Last Update Date: 09/19/2022
Medicare PECOS Information:
- PECOS PAC ID: 8022472885
- Enrollment ID: I20230912002399
Medical Identifiers
Medical identifiers for Dr Brian Adam Maruyama such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063708451 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | 32647 (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 Brian Adam Maruyama allows following entities to bill medicare on his 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 Brian Adam Maruyama 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 Brian Adam Maruyama, PHD
1168 Sentinel Ct,
Merced, CA 95340-0677
Ph: (209) 631-6572 | Dr Brian Adam Maruyama, PHD
1168 Sentinel Ct,
Merced, CA 95340-0677
Ph: (209) 631-6572 |
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