DR. BETHANY JAYNE TUCKER M.D.
NPI 1639387954
Psychiatry & Neurology - Psychiatry in Los Angeles, CA
About Dr. Bethany Jayne Tucker M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. BETHANY JAYNE TUCKER M.D. (NPI 1639387954) is an individual psychiatry provider in Los Angeles, California, licensed in California (A73695) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and is a graduate of University Of Washington School Of Medicine (1999).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Bethany Jayne Tucker M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Bethany Tucker reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Agoura Hills, CA 91301
- Reassigned Medicare billing, California enrollment
- 29 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90035 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOS ANGELES, CA 90035
LOS ANGELES, CA 90035
LOS ANGELES, CA 90035
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Bethany Tucker's NPI number?
The NPI number for Bethany Tucker is 1639387954. It was assigned to this individual provider in the NPPES registry on May 18, 2007.
Where is Bethany Tucker located?
Bethany Tucker practices at 9911 W Pico Blvd, Los Angeles, CA 90035. The listed phone number is (310) 556-0255.
What is Bethany Tucker's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Bethany Tucker enrolled in Medicare?
Yes. Bethany Tucker is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Bethany Tucker's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Bethany Tucker reassigns Medicare benefits to Family Psychological Services Inc (Agoura Hills, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Bethany Tucker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Bethany Tucker was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Bethany Jayne Tucker, M.D. · NPI 1639387954
Psychiatry physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since May 18, 2007.
## Identity
- **NPI:** 1639387954 (Entity type: Individual)
- **Enumerated:** May 18, 2007
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **State license:** A73695 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 9911 W PICO BLVD, Los Angeles, CA 90035-2703
- **Phone:** (310) 556-0255
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Family Psychological Services Inc (NPI 1881746733, Agoura Hills, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Washington School Of Medicine, class of 1999
## Record status
- **NPPES last updated:** July 8, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1639387954) · Data from the CMS NPPES public registry.