Dr Tara Ann Miskovich, PHD is a medicare enrolled "Psychologist - Clinical" provider in Mcclellan, California. Her current practice location is
5342 Dudley Blvd, Mcclellan, California. You can reach out to her office (for appointments etc.) via phone at
(916) 561-7629.
Dr Tara Ann Miskovich is licensed to practice in California (license number 31323) 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 1538702881.
Healthcare Provider's Profile
Full Name | Dr Tara Ann Miskovich |
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Gender | Female |
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Speciality | Psychologist - Clinical |
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Location | 5342 Dudley Blvd, Mcclellan, 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: 1538702881
- Provider Enumeration Date: 10/18/2019
- Last Update Date: 10/18/2019
Medicare PECOS Information:
- PECOS PAC ID: 7719371376
- Enrollment ID: I20220223002986
Medical Identifiers
Medical identifiers for Dr Tara Ann Miskovich such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1538702881 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | 31323 (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 Tara Ann Miskovich allows following entities to bill medicare on her behalf.
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
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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 Tara Ann Miskovich 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 Tara Ann Miskovich, PHD 5342 Dudley Blvd, Mcclellan, CA 95652-1012 Ph: () - | Dr Tara Ann Miskovich, PHD 5342 Dudley Blvd, Mcclellan, CA 95652-1012 Ph: (916) 561-7629 |
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