Dr Marissa Garcia Elpidama, PSYD - Medicare Psychologist in Simi Valley, CA

Dr Marissa Garcia Elpidama, PSYD is a medicare enrolled "Psychologist" provider in Simi Valley, California. Her current practice location is 1720 E Los Angeles Ave Ste 221, Simi Valley, California. You can reach out to her office (for appointments etc.) via phone at (805) 501-0260.

Dr Marissa Garcia Elpidama is licensed to practice in California (license number PSY24487) 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 1750665915.

Contact Information

Dr Marissa Garcia Elpidama, PSYD
1720 E Los Angeles Ave Ste 221,
Simi Valley, CA 93065-5854
(805) 501-0260
Not Available



Healthcare Provider's Profile

Full NameDr Marissa Garcia Elpidama
GenderFemale
SpecialityPsychologist
Location1720 E Los Angeles Ave Ste 221, Simi Valley, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1750665915
  • Provider Enumeration Date: 10/06/2011
  • Last Update Date: 11/12/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 3678730249
  • Enrollment ID: I20120209000226

Medical Identifiers

Medical identifiers for Dr Marissa Garcia Elpidama such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750665915NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist PSY24487 (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 Marissa Garcia Elpidama allows following entities to bill medicare on her behalf.
Entity NameThriveworks Clinical - California Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801481395
PECOS PAC ID: 1759785645
Enrollment ID: O20220421000008

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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 Marissa Garcia Elpidama 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 Marissa Garcia Elpidama, PSYD
Po Box 941834,
Simi Valley, CA 93094-1834

Ph: (805) 918-4819
Dr Marissa Garcia Elpidama, PSYD
1720 E Los Angeles Ave Ste 221,
Simi Valley, CA 93065-5854

Ph: (805) 501-0260

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Psychologist in Simi Valley, CA

George Morrera, PHD
Psychologist
Medicare: Accepting Medicare Assignments
Practice Location: 1687 Erringer Rd, Suite 106, Simi Valley, CA 93065
Phone: 805-527-1010    Fax: 805-493-1067
Elizabeth Wray, LMFT
Psychologist
Medicare: Medicare Enrolled
Practice Location: 2098 Marter Ave, Simi Valley, CA 93065
Phone: 818-900-2559    
Miranda Sager,
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 1227 E Los Angeles Ave, Simi Valley, CA 93065
Phone: 805-577-0830    
Dr. Heather Miles, PSYD
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 4315 Eileen St Unit 4, Simi Valley, CA 93063
Phone: 310-592-2985    
Masoumeh Nourshahi,
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 1227 E Los Angeles Ave, Simi Valley, CA 93065
Phone: 805-582-4075    Fax: 805-582-4075
Dr. Shiro Perera Torquato, PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 3695 Alamo St Ste 103, Simi Valley, CA 93063
Phone: 805-527-4146    Fax: 805-582-1893
Kimberly Lou Eddy, M.A.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 2650 Jones Way Ste 10, Simi Valley, CA 93065
Phone: 805-522-1844    Fax: 805-522-5345

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