Dr Staci R Emerson, PHD in Hollywood, CA - Medicare Psychologist Provider

Dr Staci R Emerson, PHD is a medicare enrolled "Psychologist - Clinical" provider in Hollywood, California. Her current practice location is 7080 Hollywood Blvd, Ste 502, Hollywood, California. You can reach out to her office (for appointments etc.) via phone at (310) 225-5220.

Dr Staci R Emerson is licensed to practice in California (license number PSY16661) 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 1942415492.

Contact Information

	Dr Staci R Emerson, PHD
	7080 Hollywood Blvd, Ste 502, Hollywood, CA 90028-6392
	(310) 225-5220
	Not Available

Healthcare Provider's Profile

Full Name	Dr Staci R Emerson
Gender	Female
Speciality	Psychologist - Clinical
Location	7080 Hollywood Blvd, Hollywood, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1942415492
Provider Enumeration Date: 05/10/2007
Last Update Date: 03/09/2018

Medicare PECOS Information:

PECOS PAC ID: 1254479454
Enrollment ID: I20091109000466

Medical Identifiers

Medical identifiers for Dr Staci R Emerson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942415492	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PSY16661 (California)	Primary

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 Staci R Emerson 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
Dr Staci R Emerson, PHD 7080 Hollywood Blvd, Ste 502, Hollywood, CA 90028-6392 Ph: () -	Dr Staci R Emerson, PHD 7080 Hollywood Blvd, Ste 502, Hollywood, CA 90028-6392 Ph: (310) 225-5220

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Dr Staci R Emerson, PHD - Medicare Psychologist in Hollywood, CA