Marina Kaminetskaya, PHD is a medicare enrolled "Clinical Neuropsychologist" provider in Auburn, California. She graduated from medical school in 2015 and has 9 years of diverse experience with area of expertise as Clinical Psychologist. Her current practice location is
1121 Maidu Dr, Auburn, California. You can reach out to her office (for appointments etc.) via phone at
(530) 888-1118.
Marina Kaminetskaya is licensed to practice in California (license number 29179) 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 1184134348.
Healthcare Provider's Profile
Full Name | Marina Kaminetskaya |
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Gender | Female |
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Speciality | Clinical Psychologist |
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Experience | 9 Years |
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Location | 1121 Maidu Dr, Auburn, California |
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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:
- Marina Kaminetskaya graduated from medical school in 2015
NPI Data:
- NPI Number: 1184134348
- Provider Enumeration Date: 10/02/2017
- Last Update Date: 02/11/2022
Medicare PECOS Information:
- PECOS PAC ID: 7517226798
- Enrollment ID: I20180116000643
Medical Identifiers
Medical identifiers for Marina Kaminetskaya such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1184134348 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | 29179 (California) | Secondary |
103G00000X | Clinical Neuropsychologist | 29179 (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. Marina Kaminetskaya allows following entities to bill medicare on her behalf.
Entity Name | Mk Neuropsychology Services Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1194233866 PECOS PAC ID: 1658633680 Enrollment ID: O20180402001738 |
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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. Marina Kaminetskaya 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 |
Marina Kaminetskaya, PHD Po Box 513, Rocklin, CA 95677-0513 Ph: () - | Marina Kaminetskaya, PHD 1121 Maidu Dr, Auburn, CA 95603-5808 Ph: (530) 888-1118 |
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