Dr Tara Ann Miskovich, PHD - Medicare Psychologist in Mcclellan, CA

Dr Tara Ann Miskovich, PHD is a medicare enrolled "Psychologist - Clinical" provider in Mcclellan, California. Her current practice location is 5342 Dudley Blvd, Mcclellan, California. You can reach out to her office (for appointments etc.) via phone at (916) 561-7629.

Dr Tara Ann Miskovich is licensed to practice in California (license number 31323) 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 1538702881.

Contact Information

Dr Tara Ann Miskovich, PHD
5342 Dudley Blvd,
Mcclellan, CA 95652-1012
(916) 561-7629
Not Available



Healthcare Provider's Profile

Full NameDr Tara Ann Miskovich
GenderFemale
SpecialityPsychologist - Clinical
Location5342 Dudley Blvd, Mcclellan, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1538702881
  • Provider Enumeration Date: 10/18/2019
  • Last Update Date: 10/18/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 7719371376
  • Enrollment ID: I20220223002986

Medical Identifiers

Medical identifiers for Dr Tara Ann Miskovich such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538702881NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 31323 (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 Tara Ann Miskovich allows following entities to bill medicare on her behalf.
Entity NamePermanente Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710

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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 Tara Ann Miskovich 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 Tara Ann Miskovich, PHD
5342 Dudley Blvd,
Mcclellan, CA 95652-1012

Ph: () -
Dr Tara Ann Miskovich, PHD
5342 Dudley Blvd,
Mcclellan, CA 95652-1012

Ph: (916) 561-7629

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Psychologist in Mcclellan, CA

Dr. Karen Shebuski, PHD
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 5342 Dudley Blvd Bldg 88, Mcclellan, CA 95652
Phone: 916-561-7400    
Ms. Janelle Kianna Fisher,
Psychologist
Medicare: Accepting Medicare Assignments
Practice Location: 4931 Arnold Ave Ste 10, Mcclellan, CA 95652
Phone: 916-265-4008    

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