Matthew Thomas Hennessy, PSYD in Atascadero, CA - Medicare Psychologist Provider

Matthew Thomas Hennessy, PSYD is a medicare enrolled "Psychologist - Group Psychotherapy" provider in Atascadero, California. His current practice location is 10333 El Camino Real, Atascadero, California. You can reach out to his office (for appointments etc.) via phone at (805) 468-2000.

Matthew Thomas Hennessy is licensed to practice in California (license number PSY17421) 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 1336191576.

Contact Information

	Matthew Thomas Hennessy, PSYD
	10333 El Camino Real, Atascadero, CA 93423-7001
	(805) 468-2000
	(805) 466-6011

Map and Direction

Healthcare Provider's Profile

Full Name	Matthew Thomas Hennessy
Gender	Male
Speciality	Psychologist - Group Psychotherapy
Location	10333 El Camino Real, Atascadero, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336191576
Provider Enumeration Date: 05/16/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 5597804427
Enrollment ID: I20091204000630

Medical Identifiers

Medical identifiers for Matthew Thomas Hennessy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336191576	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TB0200X	Psychologist - Cognitive & Behavioral	PSY17421 (California)	Primary
103TC0700X	Psychologist - Clinical	PSY17421 (California)	Primary
103TC1900X	Psychologist - Counseling	PSY17421 (California)	Primary
103TF0200X	Psychologist - Forensic	PSY17421 (California)	Primary
103T00000X	Psychologist	PSY17421 (California)	Primary
103TP2701X	Psychologist - Group Psychotherapy	PSY17421 (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. Matthew Thomas Hennessy allows following entities to bill medicare on his behalf.

Entity Name	Department Of State Hospitals
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124078704 PECOS PAC ID: 9638174238 Enrollment ID: O20081031000305

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. Matthew Thomas Hennessy 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
Matthew Thomas Hennessy, PSYD 1600 9th St, Room 205 Mailstop 2-3, Sacramento, CA 95814-6414 Ph: (916) 654-2431	Matthew Thomas Hennessy, PSYD 10333 El Camino Real, Atascadero, CA 93423-7001 Ph: (805) 468-2000

Reviews and Comments

Psychologist in Atascadero, CA

Jeffrey Franz Teuber, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10333 El Camino Real, Atascadero, CA 93423 Phone: 805-468-2000 Fax: 805-466-6011
Dr. Timothy Edward Nastasi, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10333 El Camino Real, Atascadero, CA 93422 Phone: 805-468-2000 Fax: 805-468-2000
Gina Marie Najolia, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10333 El Camino Real, Atascadero, CA 93422 Phone: 805-468-2000
Emily Rosten, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10333 El Camino Real, Atascadero, CA 93423 Phone: 805-468-2000 Fax: 805-466-6011
Darren Kenneth Smith, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10333 El Camino Real, Atascadero, CA 93422 Phone: 805-468-2170
Dr. Kevin M Perry, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10333 El Camino Real, Atascadero, CA 93422 Phone: 805-468-3757
Suzanne C Maclelland, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 7305 Morro Rd Ste 201, Atascadero, CA 93422 Phone: 805-203-6421

Matthew Thomas Hennessy, PSYD - Medicare Psychologist in Atascadero, CA