Amanda Mckenzie Carroll, PSYD in Oakland, CA - Medicare Psychologist Provider

Amanda Mckenzie Carroll, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Oakland, California. Her current practice location is 275 W Macarthur, Oakland, California. You can reach out to her office (for appointments etc.) via phone at (510) 752-1000.

Amanda Mckenzie Carroll is licensed to practice in California (license number PSY 26227) 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 1164672226.

Contact Information

	Amanda Mckenzie Carroll, PSYD
	275 W Macarthur, Oakland, CA 94611-5641
	(510) 752-1000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Amanda Mckenzie Carroll
Gender	Female
Speciality	Psychologist - Clinical
Location	275 W Macarthur, Oakland, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164672226
Provider Enumeration Date: 09/25/2008
Last Update Date: 02/11/2022

Medicare PECOS Information:

PECOS PAC ID: 9335461490
Enrollment ID: I20141201001760

Medical Identifiers

Medical identifiers for Amanda Mckenzie Carroll such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164672226	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PSY 26227 (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. Amanda Mckenzie Carroll allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Amanda Mckenzie Carroll 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
Amanda Mckenzie Carroll, PSYD 275 W Macarthur, Oakland, CA 94611-5641 Ph: (510) 752-1000	Amanda Mckenzie Carroll, PSYD 275 W Macarthur, Oakland, CA 94611-5641 Ph: (510) 752-1000

Reviews and Comments

Psychologist in Oakland, CA

Dr. Ronald C. Kimmons, PSYD, MSW, MA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2303 25th Ave, Oakland, CA 94601 Phone: 510-219-6405
Dr. Morgan E Bartholomew, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 970 Aileen St, Oakland, CA 94608 Phone: 661-992-6871
Dr. Dina Divsalar, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 711 Calmar Ave, Oakland, CA 94610 Phone: 510-206-3973
Dr. Cheryl Jacques, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5665 College Ave Ste 320c, Oakland, CA 94618 Phone: 510-653-0678 Fax: 510-898-9889
Anna Wong, PSY Psychologist Medicare: Not Enrolled in Medicare Practice Location: 275 W Macarthur, Oakland, CA 94611 Phone: 510-752-1000 Fax: 510-752-1404
Debbie Rieza, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 400 29th St Ste 105, Oakland, CA 94609 Phone: 510-268-8120
Dr. Stacey Ann Lindsay, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 915 54th St, Oakland, CA 94608 Phone: 510-879-5003

Amanda Mckenzie Carroll, PSYD - Medicare Psychologist in Oakland, CA