Dr Vivian Barbara Insua-lopez, PSY D is a medicare enrolled "Psychologist" provider in Encino, California. Her current practice location is
16255 Ventura Blvd, 502, Encino, California. You can reach out to her office (for appointments etc.) via phone at
(818) 419-6506.
Dr Vivian Barbara Insua-lopez is licensed to practice in California (license number PSY 26404) 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 1629261862.
Healthcare Provider's Profile
| Full Name | Dr Vivian Barbara Insua-lopez |
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| Gender | Female |
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| Speciality | Psychologist |
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| Location | 16255 Ventura Blvd, Encino, 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: 1629261862
- Provider Enumeration Date: 08/21/2007
- Last Update Date: 07/13/2015
Medicare PECOS Information:
- PECOS PAC ID: 3173845104
- Enrollment ID: I20141203000006
Medical Identifiers
Medical identifiers for Dr Vivian Barbara Insua-lopez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629261862 | NPI | - | NPPES |
| CB224028 | Other | CA | MEDICARE PTAN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | PSY 26404 (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 Vivian Barbara Insua-lopez allows following entities to bill medicare on her behalf.
| Entity Name | Vivian Insua-lopez Psy D Psychologist Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1740725639
PECOS PAC ID: 0840558284
Enrollment ID: O20171213000640 |
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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 Vivian Barbara Insua-lopez 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 |
|---|
Dr Vivian Barbara Insua-lopez, PSY D
16255 Ventura Blvd, 502,
Encino, CA 91436-2302
Ph: (818) 419-6506 | Dr Vivian Barbara Insua-lopez, PSY D
16255 Ventura Blvd, 502,
Encino, CA 91436-2302
Ph: (818) 419-6506 |
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