Michael R P Vivian, MD is a medicare enrolled "Psychiatry & Neurology - Addiction Psychiatry" physician in Newbury Park, California. His current practice location is
3311 Old Conejo Rd, Newbury Park, California. You can reach out to his office (for appointments etc.) via phone at
(805) 388-3337.
Michael R P Vivian is licensed to practice in California (license number G78890) 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 1831294917.
Physician's Profile
Full Name | Michael R P Vivian |
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Gender | Male |
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Speciality | Psychiatry & Neurology - Addiction Psychiatry |
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Location | 3311 Old Conejo Rd, Newbury Park, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1831294917
- Provider Enumeration Date: 09/14/2006
- Last Update Date: 06/01/2023
Medicare PECOS Information:
- PECOS PAC ID: 6608940838
- Enrollment ID: I20080805000758
Medical Identifiers
Medical identifiers for Michael R P Vivian such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1831294917 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0802X | Psychiatry & Neurology - Addiction Psychiatry | G78890 (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. Michael R P Vivian allows following entities to bill medicare on his behalf.
Entity Name | Reward Path Recovery Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1619460912 PECOS PAC ID: 1951757913 Enrollment ID: O20231026003084 |
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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. Michael R P Vivian 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 |
Michael R P Vivian, MD 3311 Old Conejo Rd, Newbury Park, CA 91320-2115 Ph: (805) 388-3337 | Michael R P Vivian, MD 3311 Old Conejo Rd, Newbury Park, CA 91320-2115 Ph: (805) 388-3337 |
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