Dr Natacha Akshoomoff, PHD is a medicare enrolled "Clinical Neuropsychologist" provider in San Diego, California. Her current practice location is
12625 High Bluff Drive, Suite 215, San Diego, California. You can reach out to her office (for appointments etc.) via phone at
(760) 230-3439.
Dr Natacha Akshoomoff is licensed to practice in California (license number PSY17720) 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 1740315043.
Healthcare Provider's Profile
| Full Name | Dr Natacha Akshoomoff |
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| Gender | Female |
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| Speciality | Clinical Neuropsychologist |
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| Location | 12625 High Bluff Drive, San Diego, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1740315043
- Provider Enumeration Date: 02/23/2007
- Last Update Date: 06/02/2023
Medicare PECOS Information:
- PECOS PAC ID: 2860776804
- Enrollment ID: I20170310001988
Medical Identifiers
Medical identifiers for Dr Natacha Akshoomoff such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1740315043 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC0700X | Psychologist - Clinical | PSY17720 (California) | Secondary |
| 103G00000X | Clinical Neuropsychologist | PSY17720 (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 Natacha Akshoomoff allows following entities to bill medicare on her behalf.
| Entity Name | Regents Of The University Of California |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1508968967
PECOS PAC ID: 3577476761
Enrollment ID: O20031203000756 |
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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 Natacha Akshoomoff 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 |
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Dr Natacha Akshoomoff, PHD
1313 Windsor Road,
Cardiff, CA 92007
Ph: (760) 230-3439 | Dr Natacha Akshoomoff, PHD
12625 High Bluff Drive, Suite 215,
San Diego, CA 92130
Ph: (760) 230-3439 |
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