Megan Christina Ichinose, is a medicare enrolled "Psychologist - Clinical" provider in Los Angeles, California. Her current practice location is
760 Westwood Plz, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at
(310) 825-2836.
Megan Christina Ichinose is licensed to practice in California (license number 33408) 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 1629529466.
Healthcare Provider's Profile
Full Name | Megan Christina Ichinose |
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Gender | Female |
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Speciality | Psychologist - Clinical |
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Location | 760 Westwood Plz, Los Angeles, 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: 1629529466
- Provider Enumeration Date: 10/17/2016
- Last Update Date: 05/02/2024
Medicare PECOS Information:
- PECOS PAC ID: 9638554470
- Enrollment ID: I20220915001300
Medical Identifiers
Medical identifiers for Megan Christina Ichinose such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629529466 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
103TC0700X | Psychologist - Clinical | 33408 (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. Megan Christina Ichinose allows following entities to bill medicare on her behalf.
Entity Name | Uc Regents |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1750368999 PECOS PAC ID: 0749180453 Enrollment ID: O20040109000819 |
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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. Megan Christina Ichinose 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 |
Megan Christina Ichinose, 5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631 Ph: (310) 301-8732 | Megan Christina Ichinose, 760 Westwood Plz, Los Angeles, CA 90024-5055 Ph: (310) 825-2836 |
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