Dr Staci R Emerson, PHD is a medicare enrolled "Psychologist - Clinical" provider in Hollywood, California. Her current practice location is
7080 Hollywood Blvd, Ste 502, Hollywood, California. You can reach out to her office (for appointments etc.) via phone at
(310) 225-5220.
Dr Staci R Emerson is licensed to practice in California (license number PSY16661) 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 1942415492.
Healthcare Provider's Profile
Full Name | Dr Staci R Emerson |
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Gender | Female |
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Speciality | Psychologist - Clinical |
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Location | 7080 Hollywood Blvd, Hollywood, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1942415492
- Provider Enumeration Date: 05/10/2007
- Last Update Date: 03/09/2018
Medicare PECOS Information:
- PECOS PAC ID: 1254479454
- Enrollment ID: I20091109000466
Medical Identifiers
Medical identifiers for Dr Staci R Emerson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1942415492 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | PSY16661 (California) | Primary |
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 Staci R Emerson 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 Staci R Emerson, PHD 7080 Hollywood Blvd, Ste 502, Hollywood, CA 90028-6392 Ph: () - | Dr Staci R Emerson, PHD 7080 Hollywood Blvd, Ste 502, Hollywood, CA 90028-6392 Ph: (310) 225-5220 |
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