Dr Maya Alyce Petties, PSYD - Medicare Psychologist in Patton, CA

Dr Maya Alyce Petties, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Patton, California. Her current practice location is 3102 E. Highland Ave, Medical Staff Office, Patton, California. You can reach out to her office (for appointments etc.) via phone at (909) 425-7679.

Dr Maya Alyce Petties is licensed to practice in California (license number 20918) 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 1104057140.

Contact Information

Dr Maya Alyce Petties, PSYD
3102 E. Highland Ave, Medical Staff Office,
Patton, CA 92369
(909) 425-7679
(909) 425-6635



Healthcare Provider's Profile

Full NameDr Maya Alyce Petties
GenderFemale
SpecialityPsychologist - Clinical
Location3102 E. Highland Ave, Patton, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1104057140
  • Provider Enumeration Date: 08/06/2009
  • Last Update Date: 11/14/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 7810033974
  • Enrollment ID: I20091005000336

Medical Identifiers

Medical identifiers for Dr Maya Alyce Petties such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104057140NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 20918 (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 Maya Alyce Petties allows following entities to bill medicare on her behalf.
Entity NameDepartment Of State Hospitals
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124078704
PECOS PAC ID: 9638174238
Enrollment ID: O20081031000305

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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 Maya Alyce Petties 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 Maya Alyce Petties, PSYD
3102 E. Highland Avenue, Medical Staff Office,
Patton, CA 92369

Ph: (909) 425-7679
Dr Maya Alyce Petties, PSYD
3102 E. Highland Ave, Medical Staff Office,
Patton, CA 92369

Ph: (909) 425-7679

News Archive

Quanticel, Celgene and Versant enter collaboration to discover and develop first-in-class cancer drugs

Privately held biotechnology company Quanticel Pharmaceuticals Inc. and Celgene Corporation, together with Versant Ventures, today announced they have entered into an exclusive, strategic collaboration to discover and develop first-in-class cancer drugs.

Public-private collaboration to fund research on health, diet and green technology

A total of £7M funding has been announced today by two public-private collaborations led by the Biotechnology and Biological Sciences Research Council (BBSRC).

Urigen Pharmaceuticals announces a presentation on interstitial cystitis/painful bladder syndrome

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Demand for dentist anesthesiologists in pediatric dental practices is on the rise

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Psychologist in Patton, CA

Dr. Crystal Mueller, PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 3102 E. Highland Ave., Patton State Hospital, Patton, CA 92369
Phone: 909-425-7628    
Dr. Devin Randle, PSY.D.
Psychologist
Medicare: Medicare Enrolled
Practice Location: 3102 E Highland Ave, Patton, CA 92369
Phone: 909-672-6394    
Dr. Victoria May King Palenscar, PSY.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 3102 E Highland Ave, Patton, CA 92369
Phone: 909-425-7791    
Dr. Donna L Robinson, PHD
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 3102 East Highland Ave, Patton, CA 92369
Phone: 909-425-7000    Fax: 909-425-7520
Kelly Jean Hunsicker, PSY.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369
Phone: 909-425-7679    Fax: 909-425-6635
Dr. Troy Steven Freimuth, PSY. D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 3102 E Highland Ave, Patton, CA 92369
Phone: 909-425-6043    
Melanie Ann Byde, PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369
Phone: 909-425-7679    Fax: 909-425-6635

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