Daniel Robert Model, PSY - Medicare Psychologist in Santa Cruz, CA

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Daniel Robert Model, PSY is a medicare enrolled "Psychologist - Clinical" provider in Santa Cruz, California. His current practice location is 1080 Emeline Ave, Santa Cruz, California. You can reach out to his office (for appointments etc.) via phone at (831) 454-4100.

Daniel Robert Model is licensed to practice in California (license number PSY 19315) 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 1316960958.

Contact Information

Daniel Robert Model, PSY
1080 Emeline Ave,
Santa Cruz, CA 95060-1966
(831) 454-4100
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDaniel Robert Model
GenderMale
SpecialityPsychologist - Clinical
Location1080 Emeline Ave, Santa Cruz, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1316960958
  • Provider Enumeration Date: 07/25/2006
  • Last Update Date: 08/24/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1456307180
  • Enrollment ID: I20050325000443

Medical Identifiers

Medical identifiers for Daniel Robert Model such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316960958NPI-NPPES
PSY 19315OtherCALICENSE #

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PSY 19315 (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. Daniel Robert Model allows following entities to bill medicare on his behalf.
Entity NameCounty Of Santa Cruz
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659315430
PECOS PAC ID: 7618872912
Enrollment ID: O20031201000251
Entity NameCounty Of Santa Cruz
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659315430
PECOS PAC ID: 7618872912
Enrollment ID: O20031201000370
Entity NameCounty Of Santa Cruz
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770709149
PECOS PAC ID: 7618872912
Enrollment ID: O20031201000402

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. Daniel Robert Model 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 AddressPractice Location Address
Daniel Robert Model, PSY
1080 Emeline Ave,
Santa Cruz, CA 95060-1966

Ph: (831) 454-4100		Daniel Robert Model, PSY
1080 Emeline Ave,
Santa Cruz, CA 95060-1966

Ph: (831) 454-4100

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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