Dr Jennifer Suzanne Tari, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Laytonville, California. Her current practice location is
50 Branscomb Rd., Laytonville, California. You can reach out to her office (for appointments etc.) via phone at
(707) 984-6131.
Dr Jennifer Suzanne Tari is licensed to practice in California (license number PSY23230) 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 1386994754.
Healthcare Provider's Profile
Full Name | Dr Jennifer Suzanne Tari |
---|
Gender | Female |
---|
Speciality | Psychologist - Clinical |
---|
Location | 50 Branscomb Rd., Laytonville, California |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1386994754
- Provider Enumeration Date: 09/13/2012
- Last Update Date: 09/13/2012
Medicare PECOS Information:
- PECOS PAC ID: 9234380288
- Enrollment ID: I20150626001138
Medical Identifiers
Medical identifiers for Dr Jennifer Suzanne Tari such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1386994754 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | PSY23230 (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. Dr Jennifer Suzanne Tari allows following entities to bill medicare on her behalf.
Entity Name | Medop Behavioral Health Associates Of Pennsylvania Pc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1740516293 PECOS PAC ID: 9032252416 Enrollment ID: O20100208000144 |
---|
Entity Name | Integrity Psychological Services, Llc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1699081349 PECOS PAC ID: 2668894940 Enrollment ID: O20200615000345 |
---|
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 Jennifer Suzanne Tari 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 Jennifer Suzanne Tari, PSYD Po Box 1116, Upper Lake, CA 95485 Ph: () - | Dr Jennifer Suzanne Tari, PSYD 50 Branscomb Rd., Laytonville, CA 95454 Ph: (707) 984-6131 |
Reviews and Comments