Dr Kathryn Ecklund, PHD is a medicare enrolled "Psychologist - Clinical" provider in Azusa, California. She graduated from medical school in 1994 and has 30 years of diverse experience with area of expertise as Clinical Psychologist. Her current practice location is
901 E Alosta Ave, Azusa, California. You can reach out to her office (for appointments etc.) via phone at
(909) 560-7015.
Dr Kathryn Ecklund is licensed to practice in California (license number 17290) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1396843686.
Healthcare Provider's Profile
| Full Name | Dr Kathryn Ecklund |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 30 Years |
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| Location | 901 E Alosta Ave, Azusa, California |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Kathryn Ecklund graduated from medical school in 1994
NPI Data:
- NPI Number: 1396843686
- Provider Enumeration Date: 09/20/2006
- Last Update Date: 10/01/2018
Medicare PECOS Information:
- PECOS PAC ID: 0840282547
- Enrollment ID: I20040401001119
Medical Identifiers
Medical identifiers for Dr Kathryn Ecklund such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1396843686 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC0700X | Psychologist - Clinical | 1276 (Oregon) | Secondary |
| 103TC0700X | Psychologist - Clinical | 17290 (California) | Primary |
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 Kathryn Ecklund 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 Kathryn Ecklund, PHD
Po Box 7000,
Azusa, CA 91702-7000
Ph: (909) 560-7015 | Dr Kathryn Ecklund, PHD
901 E Alosta Ave,
Azusa, CA 91702
Ph: (909) 560-7015 |
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