Dr Adeleine Conanan Liang, PSYD is a medicare enrolled "Psychologist - Clinical" provider in San Diego, California. Her current practice location is
5230 Carroll Canyon Rd Ste 316, San Diego, California. You can reach out to her office (for appointments etc.) via phone at
(619) 436-4231.
Dr Adeleine Conanan Liang is licensed to practice in California (license number 31748) 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 1720393242.
Healthcare Provider's Profile
| Full Name | Dr Adeleine Conanan Liang |
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| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 5230 Carroll Canyon Rd Ste 316, San Diego, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1720393242
- Provider Enumeration Date: 08/09/2010
- Last Update Date: 07/13/2022
Medicare PECOS Information:
- PECOS PAC ID: 7810328499
- Enrollment ID: I20200514002398
Medical Identifiers
Medical identifiers for Dr Adeleine Conanan Liang such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1720393242 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | 31748 (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 Adeleine Conanan Liang allows following entities to bill medicare on her behalf.
| Entity Name | Southern California Psychology Centers Apc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1386066363
PECOS PAC ID: 6406170653
Enrollment ID: O20150119000828 |
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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 Adeleine Conanan Liang 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 |
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Dr Adeleine Conanan Liang, PSYD
Po Box 161247,
San Diego, CA 92176-1247
Ph: (619) 436-4231 | Dr Adeleine Conanan Liang, PSYD
5230 Carroll Canyon Rd Ste 316,
San Diego, CA 92121-1781
Ph: (619) 436-4231 |
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