Dr Azita Melody Hickey, PHD in San Diego, CA - Medicare Clinical Psychologist Provider

Dr Azita Melody Hickey, PHD is a medicare enrolled "Psychologist - Clinical" provider in San Diego, California. She graduated from medical school in 2017 and has 7 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Azita Hickey Ph D Psychologist and her current practice location is 9921 Carmel Mountain Rd Ste 204, San Diego, California. You can reach out to her office (for appointments etc.) via phone at (909) 957-0556.

Dr Azita Melody Hickey is licensed to practice in California (license number PSY30683) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1548520554.

Contact Information

	Dr Azita Melody Hickey, PHD
	9921 Carmel Mountain Rd Ste 204, San Diego, CA 92129-2813
	(909) 957-0556
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Azita Melody Hickey
Gender	Female
Speciality	Clinical Psychologist
Experience	7 Years
Location	9921 Carmel Mountain Rd Ste 204, San Diego, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Azita Melody Hickey graduated from medical school in 2017

NPI Data:

NPI Number: 1548520554
Provider Enumeration Date: 05/23/2012
Last Update Date: 04/04/2024

Medicare PECOS Information:

PECOS PAC ID: 4082943337
Enrollment ID: I20190911001988

Medical Identifiers

Medical identifiers for Dr Azita Melody Hickey such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548520554	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PSY30683 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Azita Hickey Ph D Psychologist	8729317078	2

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. Dr Azita Melody Hickey allows following entities to bill medicare on her behalf.

Entity Name	Azita Hickey Ph D Psychologist
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770049959 PECOS PAC ID: 8729317078 Enrollment ID: O20190911001843

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. Dr Azita Melody Hickey 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
Dr Azita Melody Hickey, PHD 9921 Carmel Mountain Rd Ste 204, San Diego, CA 92129-2813 Ph: (909) 957-0556	Dr Azita Melody Hickey, PHD 9921 Carmel Mountain Rd Ste 204, San Diego, CA 92129-2813 Ph: (909) 957-0556

Reviews and Comments

Psychologist in San Diego, CA

Dr. Douglas Brackmann, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3101 4th Ave, San Diego, CA 92103 Phone: 858-735-1667 Fax: 619-542-0332
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Dr. Lina Kogan-sbarbaro, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 1050 University Ave Ste E107, San Diego, CA 92103 Phone: 858-504-7743 Fax: 858-216-1928
Dr. Raymond Peng, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 6540 Lusk Blvd Ste C159, San Diego, CA 92121 Phone: 858-888-9683
Dr. Joel Samaniego, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 9265 Sky Park Court, Suite 100, San Diego, CA 92123 Phone: 844-737-3638 Fax: 619-403-9496
Meghan Hammel, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 200 West Arbor Drive, San Diego, CA 92103 Phone: 619-543-2827
Dr. Rodger Stacy Questin, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 3702 4th Ave, San Diego, CA 92103 Phone: 760-607-7257

Dr Azita Melody Hickey, PHD - Medicare Psychologist in San Diego, CA