Teresa Marie George, PHD in San Luis Obispo, CA - Medicare Psychologist Provider

Teresa Marie George, PHD is a medicare enrolled "Psychologist - Clinical" provider in San Luis Obispo, California. Her current practice location is 3925 Imel Rd, San Luis Obispo, California. You can reach out to her office (for appointments etc.) via phone at (805) 710-3199.

Teresa Marie George is licensed to practice in California (license number PSY16121) 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 1619929445.

Contact Information

	Teresa Marie George, PHD
	3925 Imel Rd, San Luis Obispo, CA 93401-6238
	(805) 710-3199
	(805) 262-6206

Map and Direction

Healthcare Provider's Profile

Full Name	Teresa Marie George
Gender	Female
Speciality	Psychologist - Clinical
Location	3925 Imel Rd, San Luis Obispo, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619929445
Provider Enumeration Date: 05/17/2006
Last Update Date: 02/28/2022

Medicare PECOS Information:

PECOS PAC ID: 7416984190
Enrollment ID: I20050725000713

Medical Identifiers

Medical identifiers for Teresa Marie George such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619929445	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TF0200X	Psychologist - Forensic	PSY16121 (California)	Secondary
103TC0700X	Psychologist - Clinical	PSY16121 (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. Teresa Marie George allows following entities to bill medicare on her 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. Teresa Marie George 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
Teresa Marie George, PHD 3940-7 Broad Street, Pmb #305, San Luis Obispo, CA 93401 Ph: (805) 971-0131	Teresa Marie George, PHD 3925 Imel Rd, San Luis Obispo, CA 93401-6238 Ph: (805) 710-3199

Reviews and Comments

Psychologist in San Luis Obispo, CA

Dr. Cheryl Wilson Steed, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: Highway 1, San Luis Obispo, CA 93409 Phone: 805-547-7900
Dr. Jay Bettergarcia, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1 Grand Ave, San Luis Obispo, CA 93407 Phone: 805-225-6406
Dr. William A Dahlstrom, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: Highway 1 California Men's Colony, San Luis Obispo, CA 93409 Phone: 805-547-7900
Shala Cole, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 956 Walnut St Ste 200, San Luis Obispo, CA 93401 Phone: 805-222-6807
Dr. Mary L Malik, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1110 California Blvd Ste A, San Luis Obispo, CA 93401 Phone: 805-541-2490
Dr. Michael Selby, PH.D., MCP Psychologist Medicare: Medicare Enrolled Practice Location: 1201 Leff St, San Luis Obispo, CA 93401 Phone: 805-439-0377
Dr. Margaret E O'neill, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1299 Briarwood Dr, Apt 112, San Luis Obispo, CA 93401 Phone: 805-439-0156

Teresa Marie George, PHD - Medicare Psychologist in San Luis Obispo, CA