Dr Joseph Johnny Koudsi, PSYD in Walnut Creek, CA - Medicare Psychologist Provider

Dr Joseph Johnny Koudsi, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Walnut Creek, California. His current practice location is 2970 Camino Diablo Ste 300, Walnut Creek, California. You can reach out to his office (for appointments etc.) via phone at (925) 282-1778.

Dr Joseph Johnny Koudsi is licensed to practice in California (license number 24646) 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 1649557232.

Contact Information

	Dr Joseph Johnny Koudsi, PSYD
	2970 Camino Diablo Ste 300, Walnut Creek, CA 94597-4001
	(925) 282-1778
	(415) 296-5299

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Joseph Johnny Koudsi
Gender	Male
Speciality	Psychologist - Clinical
Location	2970 Camino Diablo Ste 300, Walnut Creek, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649557232
Provider Enumeration Date: 11/09/2011
Last Update Date: 10/18/2024

Medicare PECOS Information:

PECOS PAC ID: 6608309760
Enrollment ID: I20241028002074

Medical Identifiers

Medical identifiers for Dr Joseph Johnny Koudsi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649557232	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	24646 (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 Joseph Johnny Koudsi 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 Joseph Johnny Koudsi 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 Joseph Johnny Koudsi, PSYD 2970 Camino Diablo Ste 300, Walnut Creek, CA 94597-4001 Ph: (925) 282-1778	Dr Joseph Johnny Koudsi, PSYD 2970 Camino Diablo Ste 300, Walnut Creek, CA 94597-4001 Ph: (925) 282-1778

Reviews and Comments

Psychologist in Walnut Creek, CA

Howard P Rome Jr., PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 450 N Wiget Ln, Walnut Creek, CA 94598 Phone: 925-482-8111 Fax: 925-482-1166
Jorge Bell, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 313 Lennon Ln Ste 100, Walnut Creek, CA 94598 Phone: 925-289-1090 Fax: 925-289-1239
Dr. Darrell Ray Christian, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2950 Camino Diablo, Suite 120, Walnut Creek, CA 94597 Phone: 925-935-8646 Fax: 925-935-8646
Dr. Susan K. Faron, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1280 Boulevard Way Ste 206, Walnut Creek, CA 94595 Phone: 925-932-2090
Katrina Domingo, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 710 S Broadway, Suite #209, Walnut Creek, CA 94596 Phone: 925-295-4901
Zeinab Mossadeghi, Psychologist Medicare: May Accept Medicare Assignments Practice Location: 1910 Olympic Blvd Ste 220, Walnut Creek, CA 94596 Phone: 310-773-7013
Monica Lisa Horowitz, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1840 San Miguel Dr Ste 207, Walnut Creek, CA 94596 Phone: 510-479-0277

Dr Joseph Johnny Koudsi, PSYD - Medicare Psychologist in Walnut Creek, CA