Dr Ken Howard Perez, PSYD in San Jose, CA - Medicare Psychologist Provider

Dr Ken Howard Perez, PSYD is a medicare enrolled "Psychologist" provider in San Jose, California. His current practice location is 5755 Cottle Rd Bldg 24, San Jose, California. You can reach out to his office (for appointments etc.) via phone at (408) 972-3218.

Dr Ken Howard Perez is licensed to practice in California (license number 30444) 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 1629545348.

Contact Information

	Dr Ken Howard Perez, PSYD
	5755 Cottle Rd Bldg 24, San Jose, CA 95123-3640
	(408) 972-3218
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Ken Howard Perez
Gender	Male
Speciality	Psychologist
Location	5755 Cottle Rd Bldg 24, 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: 1629545348
Provider Enumeration Date: 10/31/2018
Last Update Date: 01/03/2022

Medicare PECOS Information:

PECOS PAC ID: 6103201728
Enrollment ID: I20220919001830

Medical Identifiers

Medical identifiers for Dr Ken Howard Perez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629545348	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	30444 (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 Ken Howard Perez allows following entities to bill medicare on his behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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 Ken Howard Perez 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 Ken Howard Perez, PSYD 75 Moss St Apt 10, San Francisco, CA 94103-4095 Ph: (808) 375-0391	Dr Ken Howard Perez, PSYD 5755 Cottle Rd Bldg 24, San Jose, CA 95123-3640 Ph: (408) 972-3218

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 Psychologist Medicare: Medicare Enrolled Practice Location: 2001 The Alameda, Momentum For Mental Health Service Team Adult Outpatie, San Jose, CA 95126 Phone: 408-261-7777 Fax: 408-259-2273

Dr Ken Howard Perez, PSYD - Medicare Psychologist in San Jose, CA