Dr Kelly Sue Lynch, PHD in San Jose, CA - Medicare Psychologist Provider

Dr Kelly Sue Lynch, PHD is a medicare enrolled "Psychologist" provider in San Jose, California. Her current practice location is 2001 The Alameda, Momentum For Mental Health Service Team Adult Outpatie, San Jose, California. You can reach out to her office (for appointments etc.) via phone at (408) 261-7777.

Dr Kelly Sue Lynch is licensed to practice in California (license number PSY 23774) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1023154721.

Contact Information

	Dr Kelly Sue Lynch, PHD
	2001 The Alameda, Momentum For Mental Health Service Team Adult Outpatie, San Jose, CA 95126-1136
	(408) 261-7777
	(408) 259-2273

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Kelly Sue Lynch
Gender	Female
Speciality	Psychologist
Location	2001 The Alameda, San Jose, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023154721
Provider Enumeration Date: 01/29/2007
Last Update Date: 09/02/2014

Medicare PECOS Information:

PECOS PAC ID: 0749404143
Enrollment ID: I20140604001729

Medical Identifiers

Medical identifiers for Dr Kelly Sue Lynch such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023154721	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	PSY 23774 (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 Kelly Sue Lynch allows following entities to bill medicare on her behalf.

Entity Name	Momentum For Mental Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154426807 PECOS PAC ID: 2769377217 Enrollment ID: O20040618001294

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 Kelly Sue Lynch 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 Kelly Sue Lynch, PHD 2001 The Alameda, Momentum For Mental Health, San Jose, CA 95126-1136 Ph: (408) 261-7777	Dr Kelly Sue Lynch, PHD 2001 The Alameda, Momentum For Mental Health Service Team Adult Outpatie, San Jose, CA 95126-1136 Ph: (408) 261-7777

Reviews and Comments

Psychologist in San Jose, CA

Dr. Rethel E. Gill, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1927 Otoole Way, San Jose, CA 95131 Phone: 707-861-8276
Marie Roman-clifton, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 751 S Bascom Ave, Psychology Services-pm&r, San Jose, CA 95128 Phone: 408-885-4445
Dr. Jennifer Gregg, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: Dept Of Psychology, One Washington Square, San Jose, CA 95192 Phone: 650-743-7230
Ms. Nicole Alvarez Bautista, BA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2400 Moorpark Ave, San Jose, CA 95128 Phone: 408-975-2730
Mr. Donald B Dufford, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3880 S Bascom Ave, Suite 212, San Jose, CA 95124 Phone: 408-559-9088 Fax: 408-377-7833
Dr. Sepideh Afrakhteh Katz, PH. D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3500 Zanker Road, San Jose, CA 95134 Phone: 408-451-6198

Dr Kelly Sue Lynch, PHD - Medicare Psychologist in San Jose, CA