Moremi Abeni Gravesandy Vassall, MD in Emeryville, CA

Moremi Abeni Gravesandy Vassall, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Emeryville, California. Her current practice location is 1480 64th St Ste 150, Emeryville, California. You can reach out to her office (for appointments etc.) via phone at (925) 282-1778.

Moremi Abeni Gravesandy Vassall is licensed to practice in California (license number A177163) 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 1407350663.

Contact Information

	Moremi Abeni Gravesandy Vassall, MD
	1480 64th St Ste 150, Emeryville, CA 94608-2267
	(925) 282-1778
	(415) 296-5299

Map and Direction

Physician's Profile

Full Name	Moremi Abeni Gravesandy Vassall
Gender	Female
Speciality	Psychiatry & Neurology - Psychiatry
Location	1480 64th St Ste 150, Emeryville, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407350663
Provider Enumeration Date: 03/22/2018
Last Update Date: 05/10/2024

Medicare PECOS Information:

PECOS PAC ID: 2264785351
Enrollment ID: I20220829002596

Medical Identifiers

Medical identifiers for Moremi Abeni Gravesandy Vassall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407350663	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	321980 (Louisiana)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
2084P0800X	Psychiatry & Neurology - Psychiatry	A177163 (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. Moremi Abeni Gravesandy Vassall allows following entities to bill medicare on her behalf.

Entity Name	Alameda Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740332931 PECOS PAC ID: 3779494521 Enrollment ID: O20031110000764

Entity Name	Pacific Coast Psychiatric Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023125465 PECOS PAC ID: 2567469174 Enrollment ID: O20061024000383

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. Moremi Abeni Gravesandy Vassall 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
Moremi Abeni Gravesandy Vassall, MD 1480 64th St Ste 150, Emeryville, CA 94608-2267 Ph: (925) 282-1778	Moremi Abeni Gravesandy Vassall, MD 1480 64th St Ste 150, Emeryville, CA 94608-2267 Ph: (925) 282-1778

Reviews and Comments

Psychiatry & Neurology Doctors in Emeryville, CA

Elias A Giraldo, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2100 Powell St Ste 400, Emeryville, CA 94608 Phone: 510-350-2600
John Church, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2340 Powell St, #402, Emeryville, CA 94608 Phone: 800-451-7811 Fax: 888-777-2067
Roshanak Ramezani, MD, MS Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2100 Powell St Ste 400, Emeryville, CA 94608 Phone: 510-851-7501
Shahla Moghbel, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2100 Powell St, Emeryville, CA 94608 Phone: 510-350-2600
Dr. Jamie Lacsina, DO Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1480 64th St Ste 150, Emeryville, CA 94608 Phone: 415-296-5290
Dr. Howard Fields, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 5858 Horton St, Suite 200, Emeryville, CA 94608 Phone: 510-985-3971

Moremi Abeni Gravesandy Vassall, MD - Medicare Psychiatry & Neurology in Emeryville, CA