Marie Roman-clifton, PHD - Medicare Psychologist in San Jose, CA

Marie Roman-clifton, PHD is a medicare enrolled "Psychologist" provider in San Jose, California. She graduated from medical school in 1996 and has 28 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice County Of Santa Clara and her current practice location is 751 S Bascom Ave, Psychology Services-pm&r, San Jose, California. You can reach out to her office (for appointments etc.) via phone at (408) 885-4445.

Marie Roman-clifton is licensed to practice in California (license number PSY15513) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1003911124.

Contact Information

Marie Roman-clifton, PHD
751 S Bascom Ave, Psychology Services-pm&r,
San Jose, CA 95128-2604
(408) 885-4445
Not Available



Healthcare Provider's Profile

Full NameMarie Roman-clifton
GenderFemale
SpecialityClinical Psychologist
Experience28 Years
Location751 S Bascom Ave, San Jose, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Marie Roman-clifton graduated from medical school in 1996
  NPI Data:
  • NPI Number: 1003911124
  • Provider Enumeration Date: 09/13/2006
  • Last Update Date: 09/12/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 0840232815
  • Enrollment ID: I20050531000967

Medical Identifiers

Medical identifiers for Marie Roman-clifton such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003911124NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist PSY15513 (California)Primary
103TR0400XPsychologist - Rehabilitation PSY15513 (California)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
County Of Santa Clara1254244973732

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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. Marie Roman-clifton allows following entities to bill medicare on her behalf.
Entity NameCounty Of Santa Clara
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659450955
PECOS PAC ID: 1254244973
Enrollment ID: O20040113000757

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Entity NameCounty Of Santa Clara
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699885079
PECOS PAC ID: 1254244973
Enrollment ID: O20040113000784

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Entity NameCounty Of Santa Clara
Entity TypePart B Supplier - Other Medical Care Group
Entity IdentifiersNPI Number: 1629301346
PECOS PAC ID: 1254244973
Enrollment ID: O20110318000170

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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. Marie Roman-clifton 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
Marie Roman-clifton, PHD
751 S Bascom Ave,
San Jose, CA 95128-2604

Ph: (408) 885-5000
Marie Roman-clifton, PHD
751 S Bascom Ave, Psychology Services-pm&r,
San Jose, CA 95128-2604

Ph: (408) 885-4445

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Psychologist in San Jose, CA

Dr. Rethel E. Gill, PSYD
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 1927 Otoole Way, San Jose, CA 95131
Phone: 707-861-8276    
Christina Wing In Gee,
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Medicare: Not Enrolled in Medicare
Practice Location: 2039 Forest Ave Ste 201, San Jose, CA 95128
Phone: 408-358-8090    
Dr. Jennifer Gregg, PH.D.
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Medicare: Not Enrolled in Medicare
Practice Location: Dept Of Psychology, One Washington Square, San Jose, CA 95192
Phone: 650-743-7230    
Mr. Donald B Dufford, PHD
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Medicare: Not Enrolled in Medicare
Practice Location: 3880 S Bascom Ave, Suite 212, San Jose, CA 95124
Phone: 408-559-9088    Fax: 408-377-7833
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Medicare: Medicare Enrolled
Practice Location: 2001 The Alameda, Momentum For Mental Health Service Team Adult Outpatie, San Jose, CA 95126
Phone: 408-261-7777    Fax: 408-259-2273

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