Douglas Novotny, PHD in Clayton, CA - Medicare Clinical Psychologist Provider

Douglas Novotny, PHD is a medicare enrolled "Psychologist - Clinical" provider in Clayton, California. He graduated from medical school in 2005 and has 19 years of diverse experience with area of expertise as Clinical Psychologist. His current practice location is 6150 Center Street, Clayton, California. You can reach out to his office (for appointments etc.) via phone at (925) 722-4540.

Douglas Novotny is licensed to practice in California (license number 23447) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1962548800.

Contact Information

	Douglas Novotny, PHD
	6150 Center Street, Clayton, CA 94517-0486
	(925) 722-4540
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Douglas Novotny
Gender	Male
Speciality	Clinical Psychologist
Experience	19 Years
Location	6150 Center Street, Clayton, California
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Douglas Novotny graduated from medical school in 2005

NPI Data:

NPI Number: 1962548800
Provider Enumeration Date: 01/29/2007
Last Update Date: 08/30/2023

Medicare PECOS Information:

PECOS PAC ID: 6002211919
Enrollment ID: I20210816001770

Medical Identifiers

Medical identifiers for Douglas Novotny such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962548800	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	23447 (California)	Secondary
103TC0700X	Psychologist - Clinical	23447 (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. Douglas Novotny allows following entities to bill medicare on his behalf.

Entity Name	Assessment And Development Center Of Sacramento
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750916177 PECOS PAC ID: 0840629036 Enrollment ID: O20200409002309

Entity Name	Novotny Psychotherapy Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407631039 PECOS PAC ID: 4880049766 Enrollment ID: O20231012001885

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. Douglas Novotny 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
Douglas Novotny, PHD 6150 Center St, Clayton, CA 94517-5099 Ph: () -	Douglas Novotny, PHD 6150 Center Street, Clayton, CA 94517-0486 Ph: (925) 722-4540

Douglas Novotny, PHD - Medicare Psychologist in Clayton, CA