Dr Timothy Allen Petersen, PSYD in Encino, CA - Medicare Psychologist Provider

Dr Timothy Allen Petersen, PSYD is a medicare enrolled "Psychologist" provider in Encino, California. His current practice location is 16055 Ventura Blvd, Suite 920, Encino, California. You can reach out to his office (for appointments etc.) via phone at (818) 377-6330.

Dr Timothy Allen Petersen is licensed to practice in California (license number PSY 19159) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1104070119.

Contact Information

	Dr Timothy Allen Petersen, PSYD
	16055 Ventura Blvd, Suite 920, Encino, CA 91436-2601
	(818) 377-6330
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Timothy Allen Petersen
Gender	Male
Speciality	Psychologist
Location	16055 Ventura Blvd, Encino, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104070119
Provider Enumeration Date: 11/05/2008
Last Update Date: 11/05/2008

Medicare PECOS Information:

PECOS PAC ID: 4880759679
Enrollment ID: I20090211000140

Medical Identifiers

Medical identifiers for Dr Timothy Allen Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104070119	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	PSY 19159 (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 Timothy Allen Petersen allows following entities to bill medicare on his behalf.

Entity Name	Tarzana Treatment Centers Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346842093 PECOS PAC ID: 5991897845 Enrollment ID: O20070822001488

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 Timothy Allen Petersen 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 Timothy Allen Petersen, PSYD 16055 Ventura Blvd, Suite 920, Encino, CA 91436-2601 Ph: (818) 377-6330	Dr Timothy Allen Petersen, PSYD 16055 Ventura Blvd, Suite 920, Encino, CA 91436-2601 Ph: (818) 377-6330

Reviews and Comments

Psychologist in Encino, CA

Sarit Ofir, PSY.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5060 Aldea Ave, Encino, CA 91316 Phone: 818-571-1120 Fax: 818-789-7175
Dr. Sherri Nader, PSY.D., LCSW Psychologist Medicare: Not Enrolled in Medicare Practice Location: 16055 Ventura Blvd, Suite 920, Encino, CA 91436 Phone: 818-888-9636
Dr. David John Lopata, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 16661 Ventura Blvd, Ste.409, Encino, CA 91436 Phone: 818-788-4303 Fax: 818-728-4860
Orly Saghian, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 16055 Ventura Blvd, Ste 1020, Encino, CA 91436 Phone: 818-419-1442 Fax: 818-501-6373
Beatrice Sadighi, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 15720 Ventura Blvd Ste 513, Encino, CA 91436 Phone: 818-986-1255
Dr. Arnold Swiller, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 17000 Ventura Blvd, Suite 203, Encino, CA 91316 Phone: 818-771-7781 Fax: 818-905-8317
Dr. Lisa Elaine Wolf, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 15910 Ventura Blvd, Suite 1017, Encino, CA 91436 Phone: 818-386-6700 Fax: 818-386-6744

Dr Timothy Allen Petersen, PSYD - Medicare Psychologist in Encino, CA