Ilka Louise De Gast, PSYD is a medicare enrolled "Psychologist" provider in Santa Rosa, California. She graduated from healthcare school in 2007 and has 17 years of diverse experience with area of expertise as Clinical Psychologist. Her current practice location is
3569 Round Barn Cir, Santa Rosa, California. You can reach out to her office (for appointments etc.) via phone at
(707) 547-2222.
Ilka Louise De Gast is licensed to practice in California (license number PSY24409) 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 1649576851.
Healthcare Provider's Profile
| Full Name | Ilka Louise De Gast |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 17 Years |
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| Location | 3569 Round Barn Cir, Santa Rosa, California |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ilka Louise De Gast graduated from medical school in 2007
NPI Data:
- NPI Number: 1649576851
- Provider Enumeration Date: 02/04/2011
- Last Update Date: 05/13/2014
Medicare PECOS Information:
- PECOS PAC ID: 7618192030
- Enrollment ID: I20140627000211
Medical Identifiers
Medical identifiers for Ilka Louise De Gast such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1649576851 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | PSB33686 (California) | Secondary |
| 103T00000X | Psychologist | PSY24409 (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. Ilka Louise De Gast allows following entities to bill medicare on her behalf.
| Entity Name | Santa Rosa Community Health Centers |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1578631172
PECOS PAC ID: 0345130423
Enrollment ID: O20040319001444 |
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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. Ilka Louise De Gast 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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Ilka Louise De Gast, PSYD
3569 Round Barn Cir,
Santa Rosa, CA 95403-1757
Ph: (707) 547-2222 | Ilka Louise De Gast, PSYD
3569 Round Barn Cir,
Santa Rosa, CA 95403-1757
Ph: (707) 547-2222 |
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