Dr Kim Huong Huynh, PHD in San Rafael, CA - Medicare Psychologist Provider

Dr Kim Huong Huynh, PHD is a medicare enrolled "Psychologist - Clinical" provider in San Rafael, California. Her current practice location is 111 Smith Ranch Rd, San Rafael, California. You can reach out to her office (for appointments etc.) via phone at (415) 491-3011.

Dr Kim Huong Huynh is licensed to practice in California (license number PSY31891) 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 1164021341.

Contact Information

	Dr Kim Huong Huynh, PHD
	111 Smith Ranch Rd, San Rafael, CA 94903-1939
	(415) 491-3011
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Kim Huong Huynh
Gender	Female
Speciality	Psychologist - Clinical
Location	111 Smith Ranch Rd, San Rafael, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164021341
Provider Enumeration Date: 10/20/2020
Last Update Date: 01/11/2022

Medicare PECOS Information:

PECOS PAC ID: 9830509934
Enrollment ID: I20201030001248

Medical Identifiers

Medical identifiers for Dr Kim Huong Huynh such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164021341	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PSY31891 (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 Kim Huong Huynh allows following entities to bill medicare on her 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 Kim Huong Huynh 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 Kim Huong Huynh, PHD 111 Smith Ranch Rd, San Rafael, CA 94903-1939 Ph: (415) 491-3011	Dr Kim Huong Huynh, PHD 111 Smith Ranch Rd, San Rafael, CA 94903-1939 Ph: (415) 491-3011

Reviews and Comments

Psychologist in San Rafael, CA

Miss Geeta Ann Davidson, M.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 20 N San Pedro Rd, San Rafael, CA 94903 Phone: 415-473-7637
Dr. Leslie Frances Chatham, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 820 Las Gallinas Ave, San Rafael, CA 94903 Phone: 415-444-3522 Fax: 415-444-3019
Dr. Carol H Pollard, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 16 Jeanette Prandi Way, Marin Co Juvenile Hall, San Rafael, CA 94903 Phone: 415-499-6894
Dr. Ann Gold Buscho, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 711 D St, Suite 207, San Rafael, CA 94901 Phone: 415-456-0952
Dr. Boukje Elisabeth Eerkens, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1050 Northgate Dr Ste 12, San Rafael, CA 94903 Phone: 415-272-3406 Fax: 415-300-3086
Stephanie Lopez, Psychologist Medicare: Medicare Enrolled Practice Location: 111 Smith Ranch Rd, San Rafael, CA 94903 Phone: 415-491-3127
Dr. Ali Navarro, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 820 Las Gallinas Ave, San Rafael, CA 94903 Phone: 415-444-3522 Fax: 415-444-3019

Dr Kim Huong Huynh, PHD - Medicare Psychologist in San Rafael, CA