Diya Kallivayalil, PHD in Somerville, MA - Medicare Psychologist Provider

Diya Kallivayalil, PHD is a medicare enrolled "Psychologist" provider in Somerville, Massachusetts. Her current practice location is Victims Of Violence Program, 26 Central Street, Somerville, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (617) 575-5208.

Diya Kallivayalil is licensed to practice in * (Not Available) (license number ) 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 1275754863.

Contact Information

	Diya Kallivayalil, PHD
	Victims Of Violence Program, 26 Central Street, Somerville, MA 02143
	(617) 575-5208
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Diya Kallivayalil
Gender	Female
Speciality	Psychologist
Location	Victims Of Violence Program, Somerville, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275754863
Provider Enumeration Date: 05/01/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 0749357705
Enrollment ID: I20080917000705

Medical Identifiers

Medical identifiers for Diya Kallivayalil such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275754863	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	(* (Not Available))	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. Diya Kallivayalil allows following entities to bill medicare on her behalf.

Entity Name	Cambridge Public Health Commission
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487603585 PECOS PAC ID: 8921910894 Enrollment ID: O20040121000364

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. Diya Kallivayalil 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
Diya Kallivayalil, PHD 3 Portsmouth Street, #3, Cambridge, MA 02141 Ph: (646) 312-9013	Diya Kallivayalil, PHD Victims Of Violence Program, 26 Central Street, Somerville, MA 02143 Ph: (617) 575-5208

Reviews and Comments

Psychologist in Somerville, MA

Grace S Kim, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 26 Central St, Somerville, MA 02143 Phone: 617-575-5355
Dr. Christopher Duane Welch, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 63 College Ave, Somerville, MA 02144 Phone: 617-629-6628
John Francis Cusack, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 403 Highland Ave, Suite 211, Somerville, MA 02144 Phone: 617-666-5800 Fax: 617-666-5832
Dr. Kimberly Faris, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 26 Central St, Somerville, MA 02143 Phone: 617-575-5335
Thomas Stoddard, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 23 Kent Ct # 3, Somerville, MA 02143 Phone: 508-208-6605
Jessika Scogland, Psychologist Medicare: Medicare Enrolled Practice Location: 300 Broadway, Somerville, MA 02145 Phone: 617-575-5268
Ms. Tamara Joy Harper, M.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 57 Dimick St # 3, Somerville, MA 02143 Phone: 619-892-1001

Diya Kallivayalil, PHD - Medicare Psychologist in Somerville, MA