Dr Supria K Gill, PHD in Vacaville, CA - Medicare Clinical Psychologist Provider

Dr Supria K Gill, PHD is a medicare enrolled "Psychologist - Health" provider in Vacaville, California. She graduated from medical school in 2016 and has 9 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Permanente Medical Group Inc and her current practice location is 1 Quality Dr, Vacaville, California. You can reach out to her office (for appointments etc.) via phone at (707) 624-2794.

Dr Supria K Gill is licensed to practice in California (license number PSY29402) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1720599475.

Contact Information

	Dr Supria K Gill, PHD
	1 Quality Dr, Vacaville, CA 95688-9494
	(707) 624-2794
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Supria K Gill
Gender	Female
Speciality	Clinical Psychologist
Experience	9 Years
Location	1 Quality Dr, Vacaville, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Supria K Gill graduated from medical school in 2016

NPI Data:

NPI Number: 1720599475
Provider Enumeration Date: 10/21/2017
Last Update Date: 01/03/2022

Medicare PECOS Information:

PECOS PAC ID: 2668732587
Enrollment ID: I20180213003366

Medical Identifiers

Medical identifiers for Dr Supria K Gill such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720599475	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TH0004X	Psychologist - Health	PSY29402 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Permanente Medical Group Inc	8921910225	8376

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 Supria K Gill allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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 Supria K Gill 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 Supria K Gill, PHD 1 Quality Dr, Vacaville, CA 95688-9494 Ph: (707) 624-2794	Dr Supria K Gill, PHD 1 Quality Dr, Vacaville, CA 95688-9494 Ph: (707) 624-2794

Reviews and Comments

Psychologist in Vacaville, CA

Dr. Susan Windham Goodwyn, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 301 Alamo Dr, A1, Vacaville, CA 95688 Phone: 707-455-8541 Fax: 707-455-7435
Ms. Jamie Lynn Kordick, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1600 California Dr, Vacaville, CA 95687 Phone: 707-449-6571
Dr. Michael Ray Henry, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 831 Alamo Dr Ste 6b, Vacaville, CA 95688 Phone: 707-624-9767 Fax: 707-471-4140
Dr. Teal Ashley Kozel, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1600 California Dr, Vacaville, CA 95687 Phone: 707-453-7017
Dr. Amber Haydu, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2100 Peabody Rd, Vacaville, CA 95687 Phone: 707-451-0182
Lee Allen Buccinio, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1600 California Dr, Vacaville, CA 95687 Phone: 707-449-6582
Ahna Marie Montague, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1600 California Dr., Vacaville, CA 95696 Phone: 707-448-6841

Dr Supria K Gill, PHD - Medicare Psychologist in Vacaville, CA