Dr Angie Susana Pelletier-juarez, PSYD in Northridge, CA

Dr Angie Susana Pelletier-juarez, PSYD is a medicare enrolled "Psychologist" provider in Northridge, California. Her current practice location is 17401 Vintage St, Northridge, California. You can reach out to her office (for appointments etc.) via phone at (323) 559-2836.

Dr Angie Susana Pelletier-juarez is licensed to practice in California (license number 34099) 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 1275883084.

Contact Information

	Dr Angie Susana Pelletier-juarez, PSYD
	17401 Vintage St, Northridge, CA 91325-1538
	(323) 559-2836
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Angie Susana Pelletier-juarez
Gender	Female
Speciality	Psychologist
Location	17401 Vintage St, Northridge, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275883084
Provider Enumeration Date: 09/19/2012
Last Update Date: 03/30/2023

Medicare PECOS Information:

PECOS PAC ID: 9830555002
Enrollment ID: I20230512000924

Medical Identifiers

Medical identifiers for Dr Angie Susana Pelletier-juarez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275883084	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	(* (Not Available))	Secondary
103T00000X	Psychologist	34099 (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 Angie Susana Pelletier-juarez allows following entities to bill medicare on her behalf.

Entity Name	Grow Healthcare Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080

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 Angie Susana Pelletier-juarez 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
Dr Angie Susana Pelletier-juarez, PSYD 17401 Vintage St, Northridge, CA 91325-1538 Ph: (323) 559-2836	Dr Angie Susana Pelletier-juarez, PSYD 17401 Vintage St, Northridge, CA 91325-1538 Ph: (323) 559-2836

Reviews and Comments

Psychologist in Northridge, CA

Dr. Peter John Adler, ED.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 17075 Devonshire St Ste 204, Northridge, CA 91325 Phone: 310-284-4893
Dr. Larry E Gaines, PH.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 19449 Singing Hills Dr, Northridge, CA 91326 Phone: 818-360-1514
Dr. Sherri A.c. Tanferani, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 8860 Corbin Ave, #175, Northridge, CA 91324 Phone: 818-993-5730
Esmeralda Adolf, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 9650 Zelzah Ave, Northridge, CA 91325 Phone: 818-993-9311
Anett Abrahamian Assilian, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 18917 Nordhoff St Ste 18, Northridge, CA 91324 Phone: 818-419-9341
Dr. Michael Robert Pines, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 9010 Reseda Blvd, Suite 217, Northridge, CA 91324 Phone: 818-983-6359
Dr. Stacey Ann Cohen-maitre, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 18421 Sandringham Ct, Northridge, CA 91326 Phone: 818-987-8320 Fax: 818-832-1050

Dr Angie Susana Pelletier-juarez, PSYD - Medicare Psychologist in Northridge, CA