Mr Michael Udo D'agostin, PSYD is a medicare enrolled "Psychologist - Counseling" provider in Tarzana, California. He graduated from healthcare school in 2006 and has 18 years of diverse experience with area of expertise as Clinical Psychologist. His current practice location is
18646 Oxnard St, Tarzana, California. You can reach out to his office (for appointments etc.) via phone at
(818) 654-3845.
Mr Michael Udo D'agostin is licensed to practice in California (license number PSY24187) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1851424345.
Healthcare Provider's Profile
| Full Name | Mr Michael Udo D'agostin |
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| Gender | Male |
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| Speciality | Clinical Psychologist |
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| Experience | 18 Years |
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| Location | 18646 Oxnard St, Tarzana, California |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Michael Udo D'agostin graduated from medical school in 2006
NPI Data:
- NPI Number: 1851424345
- Provider Enumeration Date: 03/13/2007
- Last Update Date: 07/29/2011
Medicare PECOS Information:
- PECOS PAC ID: 6901035146
- Enrollment ID: I20140210000710
Medical Identifiers
Medical identifiers for Mr Michael Udo D'agostin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1851424345 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | A3555189 (California) | Secondary |
| 103TC1900X | Psychologist - Counseling | PSY24187 (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. Mr Michael Udo D'agostin allows following entities to bill medicare on his behalf.
| Entity Name | Tarzana Treatment Centers Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1346842093
PECOS PAC ID: 5991897845
Enrollment ID: O20070822001488 |
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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. Mr Michael Udo D'agostin 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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Mr Michael Udo D'agostin, PSYD
13244 Cumpston St,
Sherman Oaks, CA 91401-6008
Ph: (818) 997-8039 | Mr Michael Udo D'agostin, PSYD
18646 Oxnard St,
Tarzana, CA 91356-1411
Ph: (818) 654-3845 |
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