Dr Linda Ronquillo, PSYD is a medicare enrolled "Psychologist - Clinical" provider in San Diego, California. Her current practice location is
1465 30th St Ste K, San Diego, California. You can reach out to her office (for appointments etc.) via phone at
(619) 428-1000.
Dr Linda Ronquillo is licensed to practice in California (license number PSY34082) 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 1164785572.
Healthcare Provider's Profile
| Full Name | Dr Linda Ronquillo |
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| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 1465 30th St Ste K, San Diego, 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: 1164785572
- Provider Enumeration Date: 06/20/2012
- Last Update Date: 03/17/2023
Medicare PECOS Information:
- PECOS PAC ID: 9931564465
- Enrollment ID: I20230504003120
Medical Identifiers
Medical identifiers for Dr Linda Ronquillo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1164785572 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | PSY34082 (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 Linda Ronquillo allows following entities to bill medicare on her behalf.
| Entity Name | Community Research Foundation Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1952328700
PECOS PAC ID: 6800825332
Enrollment ID: O20050804001256 |
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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 Linda Ronquillo 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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Dr Linda Ronquillo, PSYD
1465 30th St Ste K,
San Diego, CA 92154-3497
Ph: (619) 428-1000 | Dr Linda Ronquillo, PSYD
1465 30th St Ste K,
San Diego, CA 92154-3497
Ph: (619) 428-1000 |
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