Roni B Maccabee, PHD is a medicare enrolled "Psychologist - Clinical" provider in Los Angeles, California. He graduated from healthcare school in 2012 and has 12 years of diverse experience with area of expertise as Clinical Psychologist. His current practice location is
3580 Wilshire Blvd Ste 2000, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at
(213) 381-1250.
Roni B Maccabee is licensed to practice in California (license number PSY32255) 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 1093931115.
Healthcare Provider's Profile
Full Name | Roni B Maccabee |
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Gender | Male |
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Speciality | Clinical Psychologist |
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Experience | 12 Years |
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Location | 3580 Wilshire Blvd Ste 2000, Los Angeles, 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. |
Medical Education and Training:
- Roni B Maccabee graduated from medical school in 2012
NPI Data:
- NPI Number: 1093931115
- Provider Enumeration Date: 04/17/2007
- Last Update Date: 01/14/2021
Medicare PECOS Information:
- PECOS PAC ID: 7416363866
- Enrollment ID: I20210309002439
Medical Identifiers
Medical identifiers for Roni B Maccabee such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1093931115 | NPI | - | NPPES |
7484 | Medicaid | CA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
103TC0700X | Psychologist - Clinical | PSY32255 (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. Roni B Maccabee allows following entities to bill medicare on his behalf.
Entity Name | Roni Maccabee Psychological Professional Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1831782077 PECOS PAC ID: 2062828411 Enrollment ID: O20210309002135 |
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Entity Name | Guadalupe Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1053902734 PECOS PAC ID: 1456751775 Enrollment ID: O20210608002458 |
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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. Roni B Maccabee 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 |
Roni B Maccabee, PHD 3580 Wilshire Blvd Ste 2000, Los Angeles, CA 90010-2533 Ph: (213) 381-1250 | Roni B Maccabee, PHD 3580 Wilshire Blvd Ste 2000, Los Angeles, CA 90010-2533 Ph: (213) 381-1250 |
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