Dr Dane P Crockford, PSYD in Solana Beach, CA - Medicare Psychologist Provider

Dr Dane P Crockford, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Solana Beach, California. His current practice location is 990 Highland Dr, Ste 110-p, Solana Beach, California. You can reach out to his office (for appointments etc.) via phone at (310) 308-9761.

Dr Dane P Crockford is licensed to practice in California (license number PSY28313) 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 1780031831.

Contact Information

	Dr Dane P Crockford, PSYD
	990 Highland Dr, Ste 110-p, Solana Beach, CA 92075-2408
	(310) 308-9761
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Dane P Crockford
Gender	Male
Speciality	Psychologist - Clinical
Location	990 Highland Dr, Solana Beach, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780031831
Provider Enumeration Date: 05/18/2016
Last Update Date: 01/10/2019

Medicare PECOS Information:

PECOS PAC ID: 2668705302
Enrollment ID: I20190611003122

Medical Identifiers

Medical identifiers for Dr Dane P Crockford such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780031831	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC2200X	Psychologist - Clinical Child & Adolescent	PSY28313 (California)	Secondary
103TF0000X	Psychologist - Family	PSY28313 (California)	Secondary
103TC0700X	Psychologist - Clinical	PSY28313 (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 Dane P Crockford 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. Dr Dane P Crockford 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 Dane P Crockford, PSYD 823 Gateway Center Way, San Diego, CA 92102-4541 Ph: (619) 515-2300	Dr Dane P Crockford, PSYD 990 Highland Dr, Ste 110-p, Solana Beach, CA 92075-2408 Ph: (310) 308-9761

Reviews and Comments

Psychologist in Solana Beach, CA

Dr. Sarah Newton Gruszka, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 440 Stevens Ave Ste 200, Solana Beach, CA 92075 Phone: 443-534-4268
Dr. Jenny Evans, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 681 San Rodolfo Dr # 1088, Solana Beach, CA 92075 Phone: 206-290-1890
Dr. Alison Wacter, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 505 Lomas Santa Fe Dr, Suite 260, Solana Beach, CA 92075 Phone: 858-279-1223 Fax: 858-509-4789
G. Preston Sims, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 674 Via De La Valle, Ste. 216, Solana Beach, CA 92075 Phone: 619-607-2672 Fax: 858-509-1214
Dr. Mark Heyman, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 767 Academy Dr, Solana Beach, CA 92075 Phone: 858-461-9295 Fax: 858-793-4406
Ms. Jodi Lee Abramowitz, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 115 W Plaza St Ste 200, Solana Beach, CA 92075 Phone: 858-736-4980
Dr. Hallie Ben-horin I, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 462 Stevens Ave Ste 108, Solana Beach, CA 92075 Phone: 760-864-2266

Dr Dane P Crockford, PSYD - Medicare Psychologist in Solana Beach, CA