Dr Ana Kodzic, PHD is a medicare enrolled "Psychologist - Clinical" provider in Atascadero, California. Her current practice location is
10333 El Camino Real, Atascadero, California. You can reach out to her office (for appointments etc.) via phone at
(805) 468-2000.
Dr Ana Kodzic is licensed to practice in California (license number PSY 24967) 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 1811145428.
Healthcare Provider's Profile
| Full Name | Dr Ana Kodzic |
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| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 10333 El Camino Real, Atascadero, 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: 1811145428
- Provider Enumeration Date: 09/08/2008
- Last Update Date: 08/08/2019
Medicare PECOS Information:
- PECOS PAC ID: 9335478882
- Enrollment ID: I20190909000881
Medical Identifiers
Medical identifiers for Dr Ana Kodzic such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1811145428 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | PSY 24967 (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 Ana Kodzic allows following entities to bill medicare on her behalf.
| Entity Name | Department Of State Hospitals |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1124078704
PECOS PAC ID: 9638174238
Enrollment ID: O20081031000305 |
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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 Ana Kodzic 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 Ana Kodzic, PHD
Po Box 7001,
Atascadero, CA 93423-7001
Ph: () - | Dr Ana Kodzic, PHD
10333 El Camino Real,
Atascadero, CA 93422-5808
Ph: (805) 468-2000 |
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