Dr Mark Jeffrey Vigil Dombeck, PHD in Alameda, CA - Medicare Clinical Psychologist Provider

Dr Mark Jeffrey Vigil Dombeck, PHD is a medicare enrolled "Psychologist - Clinical" provider in Alameda, California. He graduated from medical school in 1995 and has 30 years of diverse experience with area of expertise as Clinical Psychologist. His current practice location is 1402 Park St Ste G, Alameda, California. You can reach out to his office (for appointments etc.) via phone at (510) 900-5123.

Dr Mark Jeffrey Vigil Dombeck is licensed to practice in California (license number PSY25695) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1689019812.

Contact Information

	Dr Mark Jeffrey Vigil Dombeck, PHD
	1402 Park St Ste G, Alameda, CA 94501-4562
	(510) 900-5123
	(888) 974-4218

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Mark Jeffrey Vigil Dombeck
Gender	Male
Speciality	Clinical Psychologist
Experience	30 Years
Location	1402 Park St Ste G, Alameda, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Mark Jeffrey Vigil Dombeck graduated from medical school in 1995

NPI Data:

NPI Number: 1689019812
Provider Enumeration Date: 05/01/2013
Last Update Date: 11/19/2017

Medicare PECOS Information:

PECOS PAC ID: 3779706080
Enrollment ID: I20140513002211

Medical Identifiers

Medical identifiers for Dr Mark Jeffrey Vigil Dombeck such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689019812	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	PSY25695 (California)	Secondary
103TB0200X	Psychologist - Cognitive & Behavioral	PSY25695 (California)	Secondary
103TC0700X	Psychologist - Clinical	PSY25695 (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 Mark Jeffrey Vigil Dombeck allows following entities to bill medicare on his behalf.

Entity Name	Psychtools Psychology Group P. C.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013332725 PECOS PAC ID: 9335367879 Enrollment ID: O20140826000839

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 Mark Jeffrey Vigil Dombeck 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 Mark Jeffrey Vigil Dombeck, PHD 1402 Park St Ste G, Alameda, CA 94501-4562 Ph: (510) 900-5123	Dr Mark Jeffrey Vigil Dombeck, PHD 1402 Park St Ste G, Alameda, CA 94501-4562 Ph: (510) 900-5123

Reviews and Comments

Psychologist in Alameda, CA

Mateo Mayorga, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2060 Challenger Dr, Alameda, CA 94501 Phone: 510-337-7000
Leonard Ferrara, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1150 Ballena Blvd, Suite113, Alameda, CA 94501 Phone: 510-599-8392
Daniel J Libby, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1505 Webster St, Alameda, CA 94501 Phone: 516-680-8362
Mrs. Tiffany Meissen, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 210 Central Ave, Alameda, CA 94501 Phone: 510-748-4023
Dr. Tucker Peck, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2103 San Jose Ave, Alameda, CA 94501 Phone: 520-485-9411 Fax: 844-227-8699
Hawlan Ng, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1415 Webster St Unit 3076, Alameda, CA 94501 Phone: 510-409-3928
Mrs. Nusrat Sultan, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1025 Atlantic Ave Ste 101, Alameda, CA 94501 Phone: 510-268-8120

Dr Mark Jeffrey Vigil Dombeck, PHD - Medicare Psychologist in Alameda, CA