Efrat Eichenbaum, LP, PHD is a medicare enrolled "Clinical Neuropsychologist" provider in Phoenix, Arizona. Her current practice location is
222 W Thomas Rd Ste 401, Phoenix, Arizona. You can reach out to her office (for appointments etc.) via phone at
(602) 406-3473.
Efrat Eichenbaum is licensed to practice in Arizona (license number PSY-005404) 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 1003265786.
Healthcare Provider's Profile
| Full Name | Efrat Eichenbaum |
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| Gender | Female |
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| Speciality | Clinical Neuropsychologist |
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| Location | 222 W Thomas Rd Ste 401, Phoenix, Arizona |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1003265786
- Provider Enumeration Date: 06/03/2016
- Last Update Date: 11/12/2021
Medicare PECOS Information:
- PECOS PAC ID: 3375822653
- Enrollment ID: I20210824000878
Medical Identifiers
Medical identifiers for Efrat Eichenbaum such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003265786 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103T00000X | Psychologist | LP5910 (Minnesota) | Secondary |
| 103G00000X | Clinical Neuropsychologist | PSY-005404 (Arizona) | 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. Efrat Eichenbaum allows following entities to bill medicare on her behalf.
| Entity Name | Sjhmc Physician Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1326098005
PECOS PAC ID: 4486646197
Enrollment ID: O20040401001189 |
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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. Efrat Eichenbaum 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 |
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Efrat Eichenbaum, LP, PHD
222 W Thomas Rd Ste 401,
Phoenix, AZ 85013-4423
Ph: (602) 406-3473 | Efrat Eichenbaum, LP, PHD
222 W Thomas Rd Ste 401,
Phoenix, AZ 85013-4423
Ph: (602) 406-3473 |
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