Dr Holly Tabernik, PHD in Augusta, GA - Medicare Psychologist Provider

Dr Holly Tabernik, PHD is a medicare enrolled "Psychologist - Clinical" provider in Augusta, Georgia. Her current practice location is 3405 Mike Padgett Hwy Bldg 10, Augusta, Georgia. You can reach out to her office (for appointments etc.) via phone at (706) 792-7141.

Dr Holly Tabernik is licensed to practice in Georgia (license number PSY003701) 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 1710315171.

Contact Information

	Dr Holly Tabernik, PHD
	3405 Mike Padgett Hwy Bldg 10, Augusta, GA 30906-3815
	(706) 792-7141
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Holly Tabernik
Gender	Female
Speciality	Psychologist - Clinical
Location	3405 Mike Padgett Hwy Bldg 10, Augusta, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710315171
Provider Enumeration Date: 10/23/2013
Last Update Date: 06/16/2020

Medicare PECOS Information:

PECOS PAC ID: 2961638895
Enrollment ID: I20131122000921

Medical Identifiers

Medical identifiers for Dr Holly Tabernik such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710315171	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PSY003701 (Georgia)	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. Dr Holly Tabernik allows following entities to bill medicare on her behalf.

Entity Name	Augusta University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760559124 PECOS PAC ID: 0840188090 Enrollment ID: O20040309000453

Entity Name	Wellstar Medical Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374

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 Holly Tabernik 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 Holly Tabernik, PHD 1120 15th St, Ste Bi1056, Augusta, GA 30912-0004 Ph: (706) 792-7141	Dr Holly Tabernik, PHD 3405 Mike Padgett Hwy Bldg 10, Augusta, GA 30906-3815 Ph: (706) 792-7141

Reviews and Comments

Psychologist in Augusta, GA

Dr. Sonya Yvette Medina, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1 Freedom Way, Augusta, GA 30904 Phone: 706-733-0188
Jason Henle, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 997 Saint Sebastian Way, Augusta, GA 30912 Phone: 706-721-6597 Fax: 706-721-6602
Dr. Cameron Mosley, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-288-8401 Fax: 706-828-8401
Sue V Moore, MS, LPC Psychologist Medicare: Not Enrolled in Medicare Practice Location: 448 Telfair St, Augusta, GA 30901 Phone: 706-722-7788 Fax: 706-724-8300
Dr. Lori T. Welch-sigmon, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-8623
Patrick A. Boudewyns, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-3141 Fax: 706-721-6602
Ralph A. Gillies, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-4588 Fax: 706-721-7264

Dr Holly Tabernik, PHD - Medicare Psychologist in Augusta, GA