Gary Santavicca, PHD in Atlanta, GA - Medicare Psychologist Provider

Gary Santavicca, PHD is a medicare enrolled "Psychologist - Clinical" provider in Atlanta, Georgia. His current practice location is 340 Blvd Ne, Ste 640, Atlanta, Georgia. You can reach out to his office (for appointments etc.) via phone at (404) 653-1117.

Gary Santavicca is licensed to practice in Georgia (license number 1224) 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 1124080395.

Contact Information

	Gary Santavicca, PHD
	340 Blvd Ne, Ste 640, Atlanta, GA 30312
	(404) 653-1117
	(404) 880-0133

Map and Direction

Healthcare Provider's Profile

Full Name	Gary Santavicca
Gender	Male
Speciality	Psychologist - Clinical
Location	340 Blvd Ne, Atlanta, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124080395
Provider Enumeration Date: 04/04/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 4688755747
Enrollment ID: I20080115000140

Medical Identifiers

Medical identifiers for Gary Santavicca such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124080395	NPI	-	NPPES
00423178A	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	1224 (Georgia)	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. Gary Santavicca allows following entities to bill medicare on his behalf.

Entity Name	Gary Santavicca, Ph.d. And Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518171222 PECOS PAC ID: 9335220409 Enrollment ID: O20080116000602

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. Gary Santavicca 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
Gary Santavicca, PHD 340 Blvd Ne, Ste 640, Atlanta, GA 30312 Ph: (404) 653-1117	Gary Santavicca, PHD 340 Blvd Ne, Ste 640, Atlanta, GA 30312 Ph: (404) 653-1117

Reviews and Comments

Psychologist in Atlanta, GA

Dr. Ralph Norman Allsopp, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5590 Long Island Dr Nw, Atlanta, GA 30327 Phone: 404-909-2398 Fax: 404-256-9121
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Dr. Carole A. A. Kant, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1340 Fernwood Circle, Atlanta, GA 30319 Phone: 404-240-0243
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Dr. Sigrid Y Elston, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2941 Piedmont Rd Ne, Suite F, Atlanta, GA 30305 Phone: 404-869-9474 Fax: 404-869-6421
Jennifer Stapel-wax, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 1920 Briarcliff Rd Ne, Atlanta, GA 30329 Phone: 404-785-9400 Fax: 404-785-9068
Sobha Fritz, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1400 Tullie Rd Ne Fl 3, Atlanta, GA 30329 Phone: 404-785-5437 Fax: 404-785-9111

Gary Santavicca, PHD - Medicare Psychologist in Atlanta, GA