Simone Taylor, PSYD in Berkeley, CA - Medicare Psychologist Provider

Simone Taylor, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Berkeley, California. Her current practice location is 3075 Adeline St, Suite 120, Berkeley, California. You can reach out to her office (for appointments etc.) via phone at (510) 848-1112.

Simone Taylor is licensed to practice in California (license number 23552) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1093905556.

Contact Information

	Simone Taylor, PSYD
	3075 Adeline St, Suite 120, Berkeley, CA 94703-2576
	(510) 848-1112
	(510) 848-4445

Map and Direction

Healthcare Provider's Profile

Full Name	Simone Taylor
Gender	Female
Speciality	Psychologist - Clinical
Location	3075 Adeline St, Berkeley, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093905556
Provider Enumeration Date: 07/30/2007
Last Update Date: 04/19/2024

Medicare PECOS Information:

PECOS PAC ID: 5991973620
Enrollment ID: I20110722000293

Medical Identifiers

Medical identifiers for Simone Taylor such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093905556	NPI	-	NPPES
01CR	Other	CA	MEDI-CAL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TF0000X	Psychologist - Family	RPS2005234 (California)	Secondary
103TC0700X	Psychologist - Clinical	23552 (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. Simone Taylor allows following entities to bill medicare on her behalf.

Entity Name	Memory Check Psychological Services, A Professional Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912184219 PECOS PAC ID: 7416856422 Enrollment ID: O20040107001021

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. Simone Taylor 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
Simone Taylor, PSYD 3075 Adeline St, Suite 120, Berkeley, CA 94703-2576 Ph: (510) 848-1112	Simone Taylor, PSYD 3075 Adeline St, Suite 120, Berkeley, CA 94703-2576 Ph: (510) 848-1112

Reviews and Comments

Psychologist in Berkeley, CA

Ethan R Schwartz, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2340 Ward St Ste 204, Berkeley, CA 94705 Phone: 510-658-5887
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Dr. Lenora M Poe, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2034 Blake St, #1, Berkeley, CA 94704 Phone: 510-845-7189 Fax: 510-845-2330
Dr. Michael Christopher Changaris, PSY.D. LIC#:PSY24712 Psychologist Medicare: Medicare Enrolled Practice Location: 771 San Luis Rd, Berkeley, CA 94707 Phone: 510-214-2559
Dr. Matthew Reader Goodman, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2222 Bancroft Way Spc 4300, Berkeley, CA 94720 Phone: 510-642-0695

Simone Taylor, PSYD - Medicare Psychologist in Berkeley, CA