Dr Brian Robert Baucom, PHD in Los Angeles, CA - Medicare Psychologist Provider

Dr Brian Robert Baucom, PHD is a medicare enrolled "Psychologist" provider in Los Angeles, California. His current practice location is 6310 San Vicente Blvd, Suite 350, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (310) 625-9267.

Dr Brian Robert Baucom is licensed to practice in California (license number PSB 33264) 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 1982868378.

Contact Information

	Dr Brian Robert Baucom, PHD
	6310 San Vicente Blvd, Suite 350, Los Angeles, CA 90048-5426
	(310) 625-9267
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Brian Robert Baucom
Gender	Male
Speciality	Psychologist
Location	6310 San Vicente Blvd, 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: 1982868378
Provider Enumeration Date: 07/15/2008
Last Update Date: 07/15/2008

Medicare PECOS Information:

PECOS PAC ID: 4688012735
Enrollment ID: I20240409001393

Medical Identifiers

Medical identifiers for Dr Brian Robert Baucom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982868378	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	PSB 33264 (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 Brian Robert Baucom allows following entities to bill medicare on his behalf.

Entity Name	University Of Utah Behavioral Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740688613 PECOS PAC ID: 9537483607 Enrollment ID: O20150120001118

Entity Name	University Of Utah Pediatric Behavioral Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649631599 PECOS PAC ID: 3870886898 Enrollment ID: O20160727002309

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 Brian Robert Baucom 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 Brian Robert Baucom, PHD 6310 San Vicente Blvd, Suite 350, Los Angeles, CA 90048-5426 Ph: (310) 625-9267	Dr Brian Robert Baucom, PHD 6310 San Vicente Blvd, Suite 350, Los Angeles, CA 90048-5426 Ph: (310) 625-9267

Reviews and Comments

Psychologist in Los Angeles, CA

Dr. Jennie M. Mathess, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 840 N Avenue 66, Los Angeles, CA 90042 Phone: 626-395-7100
Dr. Dennis S. Klos, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1554 S Sepulveda Blvd, Suite 211, Los Angeles, CA 90025 Phone: 310-476-5277
Dr. Karen Siscoe, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 450 Bauchet St, Los Angeles, CA 90012 Phone: 213-473-6530
Dr. Kara Taguchi, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 550 S Vermont Ave, Adult Systems Of Care, 12th Floor, Los Angeles, CA 90020 Phone: 213-305-2999 Fax: 213-381-5497
Dr. Kara Lynn Hart, PSY,D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 11500 W Olympic Blvd, Suite 500, Los Angeles, CA 90064 Phone: 310-871-7825 Fax: 310-478-6698
Molly Cevasco, PH.D., BCBA Psychologist Medicare: Medicare Enrolled Practice Location: 4650 W Sunset Blvd, Ms #53, Los Angeles, CA 90027 Phone: 323-361-3849
Dr. Adam Vogel, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 621 S Virgil Ave, #300, Los Angeles, CA 90005 Phone: 213-368-5400

Dr Brian Robert Baucom, PHD - Medicare Psychologist in Los Angeles, CA