Krista Basile Tabuenca, in Los Angeles, CA

Krista Basile Tabuenca, is a medicare enrolled "Psychologist - Clinical" physician in Los Angeles, California. Her current practice location is 300 Ucla Medical Plz Ste 1100, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (310) 825-9989.

Krista Basile Tabuenca is licensed to practice in California (license number PSY34041) 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 1255813762.

Contact Information

	Krista Basile Tabuenca,
	300 Ucla Medical Plz Ste 1100, Los Angeles, CA 90095-8549
	(310) 825-9989
	Not Available

Map and Direction

Physician's Profile

Full Name	Krista Basile Tabuenca
Gender	Female
Speciality	Psychologist - Clinical
Location	300 Ucla Medical Plz Ste 1100, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255813762
Provider Enumeration Date: 08/30/2018
Last Update Date: 07/15/2024

Medicare PECOS Information:

PECOS PAC ID: 8224494422
Enrollment ID: I20230512002275

Medical Identifiers

Medical identifiers for Krista Basile Tabuenca such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255813762	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	PSY34041 (California)	Secondary
103TC0700X	Psychologist - Clinical	PSY34041 (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. Krista Basile Tabuenca allows following entities to bill medicare on her behalf.

Entity Name	Uc Regents
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750368999 PECOS PAC ID: 0749180453 Enrollment ID: O20040109000819

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. Krista Basile Tabuenca 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
Krista Basile Tabuenca, 5767 W Century Blvd, Los Angeles, CA 90095-5631 Ph: () -	Krista Basile Tabuenca, 300 Ucla Medical Plz Ste 1100, Los Angeles, CA 90095-8549 Ph: (310) 825-9989

Krista Basile Tabuenca, - Medicare Psychologist in Los Angeles, CA