Albert Modad, PSYD in San Clemente, CA - Medicare Clinical Psychologist Provider

Albert Modad, PSYD is a medicare enrolled "Psychologist - Clinical" provider in San Clemente, California. He graduated from medical school in 2016 and has 8 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Family Health Centers Of San Diego, Inc and his current practice location is 1211 Puerta Del Sol, San Clemente, California. You can reach out to his office (for appointments etc.) via phone at (949) 276-5553.

Albert Modad is licensed to practice in California (license number 29697) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1629453691.

Contact Information

	Albert Modad, PSYD
	1211 Puerta Del Sol, San Clemente, CA 92673-6306
	(949) 276-5553
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Albert Modad
Gender	Male
Speciality	Clinical Psychologist
Experience	8 Years
Location	1211 Puerta Del Sol, San Clemente, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Albert Modad graduated from medical school in 2016

NPI Data:

NPI Number: 1629453691
Provider Enumeration Date: 07/20/2015
Last Update Date: 10/23/2024

Medicare PECOS Information:

PECOS PAC ID: 7911269162
Enrollment ID: I20180327003148

Medical Identifiers

Medical identifiers for Albert Modad such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629453691	NPI	-	NPPES
39	Other	CA	STUDENT IN A HEALTH CARE TRAINING PROGRAM

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	29697 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Family Health Centers Of San Diego, Inc	3476446378	228

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. Albert Modad allows following entities to bill medicare on his behalf.

Entity Name	Family Health Centers Of San Diego, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447281936 PECOS PAC ID: 3476446378 Enrollment ID: O20040204000923

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. Albert Modad 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
Albert Modad, PSYD 823 Gateway Center Way, San Diego, CA 92102-4541 Ph: (619) 906-4623	Albert Modad, PSYD 1211 Puerta Del Sol, San Clemente, CA 92673-6306 Ph: (949) 276-5553

Reviews and Comments

Psychologist in San Clemente, CA

Meghan Yolles, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2117 Avenida Espada, San Clemente, CA 92673 Phone: 949-413-2674
Dr. Linda Anne Wicks, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 255 Vista Marina, San Clemente, CA 92672 Phone: 949-361-2523
Dr. Marijane Elizabeth Ward, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2801 Canto Nubiado, San Clemente, CA 92673 Phone: 949-388-3741
Robert Arthur Broenen, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 161 Avenida Cabrillo, San Clemente, CA 92672 Phone: 949-542-9052 Fax: 949-542-3280
Gina Atencio-maclean, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 647 Camino De Los Mares Ste 221, San Clemente, CA 92673 Phone: 949-228-9080
Dr. Martin B Pennington Ii, PSY.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 101 Avenida Serra, San Clemente, CA 92672 Phone: 949-510-3845
Maria Guadalupe Cardenas, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3551 Camino Mira Costa Ste T, San Clemente, CA 92672 Phone: 949-272-4444

Albert Modad, PSYD - Medicare Psychologist in San Clemente, CA