Marie Roman-clifton, PHD in San Jose, CA - Medicare Clinical Psychologist Provider

Marie Roman-clifton, PHD is a medicare enrolled "Psychologist" provider in San Jose, California. She graduated from medical school in 1996 and has 29 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice County Of Santa Clara and her current practice location is 751 S Bascom Ave, Psychology Services-pm&r, San Jose, California. You can reach out to her office (for appointments etc.) via phone at (408) 885-4445.

Marie Roman-clifton is licensed to practice in California (license number PSY15513) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1003911124.

Contact Information

	Marie Roman-clifton, PHD
	751 S Bascom Ave, Psychology Services-pm&r, San Jose, CA 95128-2604
	(408) 885-4445
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Marie Roman-clifton
Gender	Female
Speciality	Clinical Psychologist
Experience	29 Years
Location	751 S Bascom Ave, San Jose, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Marie Roman-clifton graduated from medical school in 1996

NPI Data:

NPI Number: 1003911124
Provider Enumeration Date: 09/13/2006
Last Update Date: 09/12/2007

Medicare PECOS Information:

PECOS PAC ID: 0840232815
Enrollment ID: I20050531000967

Medical Identifiers

Medical identifiers for Marie Roman-clifton such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003911124	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	PSY15513 (California)	Primary
103TR0400X	Psychologist - Rehabilitation	PSY15513 (California)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Santa Clara Valley Medical Center	San jose, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
County Of Santa Clara	1254244973	722

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. Marie Roman-clifton allows following entities to bill medicare on her behalf.

Entity Name	County Of Santa Clara
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659450955 PECOS PAC ID: 1254244973 Enrollment ID: O20040113000757

Entity Name	County Of Santa Clara
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699885079 PECOS PAC ID: 1254244973 Enrollment ID: O20040113000784

Entity Name	County Of Santa Clara
Entity Type	Part B Supplier - Other Medical Care Group
Entity Identifiers	NPI Number: 1629301346 PECOS PAC ID: 1254244973 Enrollment ID: O20110318000170

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. Marie Roman-clifton 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
Marie Roman-clifton, PHD 751 S Bascom Ave, San Jose, CA 95128-2604 Ph: (408) 885-5000	Marie Roman-clifton, PHD 751 S Bascom Ave, Psychology Services-pm&r, San Jose, CA 95128-2604 Ph: (408) 885-4445

Reviews and Comments

Psychologist in San Jose, CA

Dr. Rethel E. Gill, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1927 Otoole Way, San Jose, CA 95131 Phone: 707-861-8276
Dr. Jennifer Gregg, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: Dept Of Psychology, One Washington Square, San Jose, CA 95192 Phone: 650-743-7230
Ms. Nicole Alvarez Bautista, BA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2400 Moorpark Ave, San Jose, CA 95128 Phone: 408-975-2730
Mr. Donald B Dufford, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3880 S Bascom Ave, Suite 212, San Jose, CA 95124 Phone: 408-559-9088 Fax: 408-377-7833
Dr. Sepideh Afrakhteh Katz, PH. D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3500 Zanker Road, San Jose, CA 95134 Phone: 408-451-6198
Dr. Kelly Sue Lynch, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 2001 The Alameda, Momentum For Mental Health Service Team Adult Outpatie, San Jose, CA 95126 Phone: 408-261-7777 Fax: 408-259-2273

Marie Roman-clifton, PHD - Medicare Psychologist in San Jose, CA