Mark Thomas Gmoser, is a medicare enrolled "Psychologist - Clinical" provider in Panorama City, California. He graduated from medical school in 2011 and has 13 years of diverse experience with area of expertise as Clinical Psychologist. His current practice location is
7907 Cherrystone Ave, Panorama City, California. You can reach out to his office (for appointments etc.) via phone at
(188) 210-0958.
Mark Thomas Gmoser is licensed to practice in California (license number PSY30893) 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 1861662702.
Healthcare Provider's Profile
| Full Name | Mark Thomas Gmoser |
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| Gender | Male |
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| Speciality | Clinical Psychologist |
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| Experience | 13 Years |
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| Location | 7907 Cherrystone Ave, Panorama City, 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:
- Mark Thomas Gmoser graduated from medical school in 2011
NPI Data:
- NPI Number: 1861662702
- Provider Enumeration Date: 03/06/2008
- Last Update Date: 08/08/2019
Medicare PECOS Information:
- PECOS PAC ID: 7911331087
- Enrollment ID: I20191223002109
Medical Identifiers
Medical identifiers for Mark Thomas Gmoser such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1861662702 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC0700X | Psychologist - Clinical | PSY30893 (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. Mark Thomas Gmoser allows following entities to bill medicare on his behalf.
| Entity Name | Mission City Community Network, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1710102009
PECOS PAC ID: 1658264684
Enrollment ID: O20040204000544 |
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| Entity Name | Mark T Gmoser Psyd A Psychological Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750933214
PECOS PAC ID: 6002240165
Enrollment ID: O20191223002078 |
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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. Mark Thomas Gmoser 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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Mark Thomas Gmoser,
Po Box 5306,
Sherman Oaks, CA 91413-5306
Ph: (818) 821-0095 | Mark Thomas Gmoser,
7907 Cherrystone Ave,
Panorama City, CA 91402-6105
Ph: (188) 210-0958 |
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