Dr Cody L Gustaveson, PHD in La Mesa, CA - Medicare Psychologist Provider

Dr Cody L Gustaveson, PHD is a medicare enrolled "Psychologist - Clinical" provider in La Mesa, California. His current practice location is 8881 Fletcher Pkwy Ste 350-360, La Mesa, California. You can reach out to his office (for appointments etc.) via phone at (858) 279-1223.

Dr Cody L Gustaveson is licensed to practice in California (license number 34321) 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 1790303451.

Contact Information

	Dr Cody L Gustaveson, PHD
	8881 Fletcher Pkwy Ste 350-360, La Mesa, CA 91942-3134
	(858) 279-1223
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Cody L Gustaveson
Gender	Male
Speciality	Psychologist - Clinical
Location	8881 Fletcher Pkwy Ste 350-360, La Mesa, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790303451
Provider Enumeration Date: 07/09/2020
Last Update Date: 05/16/2024

Medicare PECOS Information:

PECOS PAC ID: 2961842695
Enrollment ID: I20240429002681

Medical Identifiers

Medical identifiers for Dr Cody L Gustaveson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790303451	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	34321 (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 Cody L Gustaveson allows following entities to bill medicare on his behalf.

Entity Name	Pacific Coast Psychiatric Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023125465 PECOS PAC ID: 2567469174 Enrollment ID: O20061024000383

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 Cody L Gustaveson 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 Cody L Gustaveson, PHD 8881 Fletcher Pkwy Ste 350-360, La Mesa, CA 91942-3134 Ph: () -	Dr Cody L Gustaveson, PHD 8881 Fletcher Pkwy Ste 350-360, La Mesa, CA 91942-3134 Ph: (858) 279-1223

Reviews and Comments

Psychologist in La Mesa, CA

Robert M Katnik, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4700 Spring St, #220, La Mesa, CA 91942 Phone: 760-730-4540 Fax: 619-667-0815
Dr. Erin Elmore, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8355 La Mesa Blvd, La Mesa, CA 91942 Phone: 858-999-5429
Dr. Briana C Rodriguez, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 8881 Fletcher Pkwy Ste 350-360, La Mesa, CA 91942 Phone: 858-279-1223
Dr. Jacqueline Butler, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 4700 Spring St, Suite 204, La Mesa, CA 91941 Phone: 619-644-5750 Fax: 619-644-5751
Carol N. Arpaci, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 8029 La Mesa Blvd, La Mesa, CA 91941 Phone: 619-668-0600 Fax: 619-466-2662
Lindsey Stroben Alper, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8318 University Ave, Suite A4, La Mesa, CA 91941 Phone: 619-462-7744 Fax: 619-462-7733
Dr. Leann C. Skimming, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8787 Center Dr, La Mesa, CA 91942 Phone: 800-257-8715

Dr Cody L Gustaveson, PHD - Medicare Psychologist in La Mesa, CA