Kenneth Michael Loya, PHD is a medicare enrolled "Psychologist" provider in San Luis Obispo, California. His current practice location is
555 Chorro St Ste B, San Luis Obispo, California. You can reach out to his office (for appointments etc.) via phone at
(805) 903-2074.
Kenneth Michael Loya is licensed to practice in California (license number 35291) 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 1083047377.
Healthcare Provider's Profile
| Full Name | Kenneth Michael Loya |
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| Gender | Male |
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| Speciality | Psychologist |
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| Location | 555 Chorro St Ste B, San Luis Obispo, 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: 1083047377
- Provider Enumeration Date: 08/09/2013
- Last Update Date: 09/17/2024
Medicare PECOS Information:
- PECOS PAC ID: 3779024864
- Enrollment ID: I20240917000403
Medical Identifiers
Medical identifiers for Kenneth Michael Loya such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1083047377 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 106H00000X | Marriage & Family Therapist | (California) | Secondary |
| 103T00000X | Psychologist | 35291 (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. Kenneth Michael Loya allows following entities to bill medicare on his behalf.
| Entity Name | Department Of State Hospitals |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1124078704
PECOS PAC ID: 9638174238
Enrollment ID: O20081031000305 |
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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. Kenneth Michael Loya 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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Kenneth Michael Loya, PHD
Po Box 1811,
San Luis Obispo, CA 93406-1811
Ph: (805) 903-2074 | Kenneth Michael Loya, PHD
555 Chorro St Ste B,
San Luis Obispo, CA 93405-2398
Ph: (805) 903-2074 |
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