Dr Tara Hyde, PSYD in Long Beach, CA - Medicare Psychologist Provider

Dr Tara Hyde, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Long Beach, California. Her current practice location is 2600 Redondo Ave Fl 3, Long Beach, California. You can reach out to her office (for appointments etc.) via phone at (562) 256-2929.

Dr Tara Hyde is licensed to practice in California (license number PSY26452) 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 1104979202.

Contact Information

	Dr Tara Hyde, PSYD
	2600 Redondo Ave Fl 3, Long Beach, CA 90806-2325
	(562) 256-2929
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Tara Hyde
Gender	Female
Speciality	Psychologist - Clinical
Location	2600 Redondo Ave Fl 3, Long Beach, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104979202
Provider Enumeration Date: 01/19/2007
Last Update Date: 03/15/2021

Medicare PECOS Information:

PECOS PAC ID: 9830400084
Enrollment ID: I20150615002614

Medical Identifiers

Medical identifiers for Dr Tara Hyde such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104979202	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PSY26452 (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 Hyde allows following entities to bill medicare on her behalf.

Entity Name	Los Angeles County Department Of Mental Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083633929 PECOS PAC ID: 7416869896 Enrollment ID: O20031104000319

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 Hyde 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 Hyde, PSYD 2600 Redondo Ave Fl 3, Long Beach, CA 90806-2325 Ph: (562) 256-2929	Dr Tara Hyde, PSYD 2600 Redondo Ave Fl 3, Long Beach, CA 90806-2325 Ph: (562) 256-2929

Reviews and Comments

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Dr Tara Hyde, PSYD - Medicare Psychologist in Long Beach, CA