Tanika Gayle, PSY D, MSW in Riverside, CA - Medicare Psychologist Provider

Tanika Gayle, PSY D, MSW is a medicare enrolled "Psychologist - Clinical" provider in Riverside, California. Her current practice location is 5051 Canyon Crest Dr, Suite 204, Riverside, California. You can reach out to her office (for appointments etc.) via phone at (951) 682-1488.

Tanika Gayle is licensed to practice in California (license number PSY23903) 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 1780871574.

Contact Information

	Tanika Gayle, PSY D, MSW
	5051 Canyon Crest Dr, Suite 204, Riverside, CA 92507-6099
	(951) 682-1488
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Tanika Gayle
Gender	Female
Speciality	Psychologist - Clinical
Location	5051 Canyon Crest Dr, Riverside, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780871574
Provider Enumeration Date: 09/26/2007
Last Update Date: 10/17/2020

Medicare PECOS Information:

PECOS PAC ID: 3274775044
Enrollment ID: I20130807000080

Medical Identifiers

Medical identifiers for Tanika Gayle such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780871574	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PSY23903 (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. Tanika Gayle allows following entities to bill medicare on her behalf.

Entity Name	Collaborative Psychology Group A Professional Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336532340 PECOS PAC ID: 9436494671 Enrollment ID: O20181217002672

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. Tanika Gayle 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
Tanika Gayle, PSY D, MSW 5051 Canyon Crest Dr, Suite 204, Riverside, CA 92507-6099 Ph: (951) 682-1488	Tanika Gayle, PSY D, MSW 5051 Canyon Crest Dr, Suite 204, Riverside, CA 92507-6099 Ph: (951) 682-1488

Reviews and Comments

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Tanika Gayle, PSY D, MSW - Medicare Psychologist in Riverside, CA