Dr Amy P Brom, PSYD - Medicare Psychologist in Arcata, CA

Dr Amy P Brom, PSYD is a medicare enrolled "Psychologist - Health Service" provider in Arcata, California. Her current practice location is 1600 Weeot Way, Arcata, California. You can reach out to her office (for appointments etc.) via phone at (707) 825-5000.

Dr Amy P Brom is licensed to practice in California (license number PSY22123) 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 1861680845.

Contact Information

Dr Amy P Brom, PSYD
1600 Weeot Way,
Arcata, CA 95521-4734
(707) 825-5000
(707) 825-6747



Healthcare Provider's Profile

Full NameDr Amy P Brom
GenderFemale
SpecialityPsychologist - Health Service
Location1600 Weeot Way, Arcata, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1861680845
  • Provider Enumeration Date: 10/04/2007
  • Last Update Date: 10/25/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 7113163205
  • Enrollment ID: I20130416000254

Medical Identifiers

Medical identifiers for Dr Amy P Brom such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861680845NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TH0100XPsychologist - Health Service PSY22123 (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. Dr Amy P Brom allows following entities to bill medicare on her behalf.
Entity NameCoppertower Family Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033534466
PECOS PAC ID: 3274445465
Enrollment ID: O20031105000381

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Entity NameTotal Life Ca Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689389603
PECOS PAC ID: 3173989332
Enrollment ID: O20230515002327

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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. Dr Amy P Brom 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 AddressPractice Location Address
Dr Amy P Brom, PSYD
6 Tarman Dr,
Cloverdale, CA 95425-3932

Ph: (707) 894-4229
Dr Amy P Brom, PSYD
1600 Weeot Way,
Arcata, CA 95521-4734

Ph: (707) 825-5000

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› Verified 3 days ago


Psychologist in Arcata, CA

Dr. Andrew Jeremiah Levine, PH.D.
Psychologist
Medicare: Accepting Medicare Assignments
Practice Location: 801 Crescent Way Ste 3, Arcata, CA 95521
Phone: 156-247-7596    
Dr. Pauline Marshall Baefsky, PH.D
Psychologist
Medicare: Medicare Enrolled
Practice Location: 665 F St, Arcata, CA 95521
Phone: 707-826-2969    
Dr. Elizabeth Mccallion, PHD
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 801 Crescent Way Ste 3, Arcata, CA 95521
Phone: 707-633-8506    
Dr. Katherine Rosemary O'connell, PH.D.
Psychologist
Medicare: Accepting Medicare Assignments
Practice Location: 801 Crescent Way Ste 3, Arcata, CA 95521
Phone: 707-709-8743    
Dr. Elizabeth Marie Thompson, PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 801 Crescent Way Ste 3, Arcata, CA 95521
Phone: 707-223-0569    Fax: 707-822-3999
Shannen Vong, PHD
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 1 Harpst St Fl 2, Arcata, CA 95521
Phone: 707-826-3236    
Dr. Joy Elizabeth Morgan, PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 801 Crescent Way Ste 3, Arcata, CA 95521
Phone: 707-832-4981    

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