Jacob Adal, is a medicare enrolled "Psychologist - Clinical" provider in Canyon Country, California. He graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Clinical Psychologist. His current practice location is
16654 Soledad Canyon Rd, Suite 204, Canyon Country, California. You can reach out to his office (for appointments etc.) via phone at
(661) 270-6644.
Jacob Adal is licensed to practice in California (license number PSY28617) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1801117072.
Healthcare Provider's Profile
| Full Name | Jacob Adal |
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| Gender | Male |
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| Speciality | Clinical Psychologist |
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| Experience | 11 Years |
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| Location | 16654 Soledad Canyon Rd, Canyon Country, California |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jacob Adal graduated from medical school in 2013
NPI Data:
- NPI Number: 1801117072
- Provider Enumeration Date: 06/22/2010
- Last Update Date: 11/19/2020
Medicare PECOS Information:
- PECOS PAC ID: 2769748557
- Enrollment ID: I20171117001840
Medical Identifiers
Medical identifiers for Jacob Adal such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1801117072 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TA0700X | Psychologist - Adult Development & Aging | PSY28617 (California) | Secondary |
| 103TA0400X | Psychologist - Addiction (substance Use Disorder) | PSY28617 (California) | Secondary |
| 103TB0200X | Psychologist - Cognitive & Behavioral | PSY28617 (California) | Secondary |
| 103TC1900X | Psychologist - Counseling | PSY28617 (California) | Secondary |
| 103TF0000X | Psychologist - Family | PSY28617 (California) | Secondary |
| 103TP2701X | Psychologist - Group Psychotherapy | PSY28617 (California) | Secondary |
| 103TC0700X | Psychologist - Clinical | PSY28617 (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. Jacob Adal allows following entities to bill medicare on his behalf.
| Entity Name | Adal Heart2heart Psychotherapy Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1215485305
PECOS PAC ID: 9032475819
Enrollment ID: O20171110001435 |
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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. Jacob Adal 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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Jacob Adal,
16654 Soledad Canyon Rd Ste 204,
Canyon Country, CA 91387-3217
Ph: (661) 270-6644 | Jacob Adal,
16654 Soledad Canyon Rd, Suite 204,
Canyon Country, CA 91387-3217
Ph: (661) 270-6644 |
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