Kevin Dale Burchby, PSYD is a medicare enrolled "Psychologist" provider in La Jolla, California. His current practice location is
8950 Villa La Jolla Dr Ste B204, La Jolla, California. You can reach out to his office (for appointments etc.) via phone at
(858) 215-2675.
Kevin Dale Burchby is licensed to practice in California (license number 31247) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1154811206.
Healthcare Provider's Profile
Full Name | Kevin Dale Burchby |
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Gender | Male |
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Speciality | Psychologist |
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Location | 8950 Villa La Jolla Dr Ste B204, La Jolla, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1154811206
- Provider Enumeration Date: 05/15/2018
- Last Update Date: 10/14/2019
Medicare PECOS Information:
- PECOS PAC ID: 7315472370
- Enrollment ID: I20241127002133
Medical Identifiers
Medical identifiers for Kevin Dale Burchby such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1154811206 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
103T00000X | Psychologist | 31247 (California) | Primary |
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. Kevin Dale Burchby 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 |
Kevin Dale Burchby, PSYD Po Box 910646, San Diego, CA 92191-0646 Ph: (858) 692-3685 | Kevin Dale Burchby, PSYD 8950 Villa La Jolla Dr Ste B204, La Jolla, CA 92037-1705 Ph: (858) 215-2675 |
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