Dr Jeffrey D Fross, PHD, HSPP | |
4715 Viewridge Ave, San Diego, CA 92123-1680 | |
(800) 257-8715 | |
(800) 819-1655 |
Full Name | Dr Jeffrey D Fross |
---|---|
Gender | Male |
Speciality | Psychologist - Clinical |
Location | 4715 Viewridge Ave, San Diego, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275579948 | NPI | - | NPPES |
100341330 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 20040572A (Indiana) | Primary |
Entity Name | Deer Oaks Illinois Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316345291 PECOS PAC ID: 8628375730 Enrollment ID: O20160404001576 |
Mailing Address | Practice Location Address |
---|---|
Dr Jeffrey D Fross, PHD, HSPP 5302 E 70th St, Indianapolis, IN 46220-3840 Ph: (317) 254-8476 | Dr Jeffrey D Fross, PHD, HSPP 4715 Viewridge Ave, San Diego, CA 92123-1680 Ph: (800) 257-8715 |
Dr. Douglas Brackmann, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3101 4th Ave, San Diego, CA 92103 Phone: 858-735-1667 Fax: 619-542-0332 | |
Barton Palmer, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: Vasdhs Division Of Geriatric Psychiatry 116a, 3350 La Jolla Village Drive, San Diego, CA 92161 Phone: 858-552-8585 | |
Dr. Lina Kogan-sbarbaro, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 1050 University Ave Ste E107, San Diego, CA 92103 Phone: 858-504-7743 Fax: 858-216-1928 | |
Dr. Raymond Peng, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 6540 Lusk Blvd Ste C159, San Diego, CA 92121 Phone: 858-888-9683 | |
Dr. Joel Samaniego, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 9265 Sky Park Court, Suite 100, San Diego, CA 92123 Phone: 844-737-3638 Fax: 619-403-9496 | |
Meghan Hammel, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 200 West Arbor Drive, San Diego, CA 92103 Phone: 619-543-2827 | |
Dr. Rodger Stacy Questin, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 3702 4th Ave, San Diego, CA 92103 Phone: 760-607-7257 |