Mr Curran Mark Commerford, PSYD is a medicare enrolled "Psychologist - Clinical" provider in San Pedro, California. His current practice location is
1214 W 8th St, San Pedro, California. You can reach out to his office (for appointments etc.) via phone at
(925) 323-5657.
Mr Curran Mark Commerford is licensed to practice in California (license number 33834) 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 1528375847.
Healthcare Provider's Profile
| Full Name | Mr Curran Mark Commerford |
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| Gender | Male |
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| Speciality | Psychologist - Clinical |
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| Location | 1214 W 8th St, San Pedro, 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: 1528375847
- Provider Enumeration Date: 09/08/2010
- Last Update Date: 01/18/2023
Medicare PECOS Information:
- PECOS PAC ID: 3577094283
- Enrollment ID: I20241007000000
Medical Identifiers
Medical identifiers for Mr Curran Mark Commerford such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1528375847 | NPI | - | NPPES |
| 7068 | Medicaid | CA | |
| 7420 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103G00000X | Clinical Neuropsychologist | 33834 (California) | Secondary |
| 225400000X | Rehabilitation Practitioner | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | 33834 (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. Mr Curran Mark Commerford allows following entities to bill medicare on his behalf.
| Entity Name | Sud Specialty Group - Ca |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1972138238
PECOS PAC ID: 9537534177
Enrollment ID: O20230412001370 |
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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. Mr Curran Mark Commerford 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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Mr Curran Mark Commerford, PSYD
1214 W 8th St,
San Pedro, CA 90731-2908
Ph: (925) 323-5657 | Mr Curran Mark Commerford, PSYD
1214 W 8th St,
San Pedro, CA 90731-2908
Ph: (925) 323-5657 |
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