Dr Michelle Amisola Cuevas, PHD in Los Angeles, CA

Dr Michelle Amisola Cuevas, PHD is a medicare enrolled "Psychologist - Clinical Child & Adolescent" provider in Los Angeles, California. Her current practice location is 4339 State University Dr, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (323) 222-8090.

Dr Michelle Amisola Cuevas is licensed to practice in California (license number PSY25067) 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 1700034352.

Contact Information

	Dr Michelle Amisola Cuevas, PHD
	4339 State University Dr, Los Angeles, CA 90032-4220
	(323) 222-8090
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Michelle Amisola Cuevas
Gender	Female
Speciality	Psychologist - Clinical Child & Adolescent
Location	4339 State University Dr, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700034352
Provider Enumeration Date: 09/08/2008
Last Update Date: 12/01/2021

Medicare PECOS Information:

PECOS PAC ID: 6800189218
Enrollment ID: I20160722001045

Medical Identifiers

Medical identifiers for Dr Michelle Amisola Cuevas such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700034352	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC2200X	Psychologist - Clinical Child & Adolescent	PSY25067 (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 Michelle Amisola Cuevas allows following entities to bill medicare on her behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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 Michelle Amisola Cuevas 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 Michelle Amisola Cuevas, PHD 4339 State University Dr, Los Angeles, CA 90032-4220 Ph: (323) 222-8090	Dr Michelle Amisola Cuevas, PHD 4339 State University Dr, Los Angeles, CA 90032-4220 Ph: (323) 222-8090

Reviews and Comments

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Dr Michelle Amisola Cuevas, PHD - Medicare Psychologist in Los Angeles, CA