Mr Marcel Tassara, PHD in Milwaukee, WI - Medicare Psychologist Provider

Mr Marcel Tassara, PHD is a medicare enrolled "Psychologist - Clinical" provider in Milwaukee, Wisconsin. His current practice location is 1032 S Cesar E Chavez Dr, Milwaukee, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (414) 672-1353.

Mr Marcel Tassara is licensed to practice in Wisconsin (license number 3332) 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 1265801740.

Contact Information

	Mr Marcel Tassara, PHD
	1032 S Cesar E Chavez Dr, Milwaukee, WI 53204-2203
	(414) 672-1353
	(414) 672-4265

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Marcel Tassara
Gender	Male
Speciality	Psychologist - Clinical
Location	1032 S Cesar E Chavez Dr, Milwaukee, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265801740
Provider Enumeration Date: 09/15/2015
Last Update Date: 09/22/2020

Medicare PECOS Information:

PECOS PAC ID: 3971800558
Enrollment ID: I20160325000178

Medical Identifiers

Medical identifiers for Mr Marcel Tassara such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265801740	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	3332 (Wisconsin)	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. Mr Marcel Tassara allows following entities to bill medicare on his behalf.

Entity Name	Sixteenth Street Community Health Centers Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417912999 PECOS PAC ID: 6709876857 Enrollment ID: O20040512001352

Entity Name	Sixteenth Street Community Health Centers Inc
Entity Type	Part A Provider - Federally Qualified Health Center (fqhc)
Entity Identifiers	NPI Number: 1417912999 PECOS PAC ID: 6709876857 Enrollment ID: O20061207000320

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. Mr Marcel Tassara 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
Mr Marcel Tassara, PHD 5450 S Hately Ave, Cudahy, WI 53110-2041 Ph: (414) 801-9596	Mr Marcel Tassara, PHD 1032 S Cesar E Chavez Dr, Milwaukee, WI 53204-2203 Ph: (414) 672-1353

Reviews and Comments

Psychologist in Milwaukee, WI

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Dr. Lari Mikel Meyer, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1219 N Cass St, Milwaukee, WI 53202 Phone: 414-291-9487
Dr. David Baruch, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5000 W National Ave, Building 43, Milwaukee, WI 53295 Phone: 414-384-2000

Mr Marcel Tassara, PHD - Medicare Psychologist in Milwaukee, WI