Dr Kristen Virginia Eddy, PSYD, MACL in Los Angeles, CA

Dr Kristen Virginia Eddy, PSYD, MACL is a medicare enrolled "Psychologist - Clinical" provider in Los Angeles, California. Her current practice location is 11835 W Olympic Blvd Ste 1265e, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (310) 273-4843.

Dr Kristen Virginia Eddy is licensed to practice in California (license number PSY29193) 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 1013466994.

Contact Information

	Dr Kristen Virginia Eddy, PSYD, MACL
	11835 W Olympic Blvd Ste 1265e, Los Angeles, CA 90064
	(310) 273-4843
	(310) 273-5056

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Kristen Virginia Eddy
Gender	Female
Speciality	Psychologist - Clinical
Location	11835 W Olympic Blvd Ste 1265e, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013466994
Provider Enumeration Date: 10/03/2016
Last Update Date: 05/31/2018

Medicare PECOS Information:

PECOS PAC ID: 4486913175
Enrollment ID: I20180126000873

Medical Identifiers

Medical identifiers for Dr Kristen Virginia Eddy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013466994	NPI	-	NPPES
CB290129	Other	CA	MEDICARE ID

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PSY29193 (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 Kristen Virginia Eddy allows following entities to bill medicare on her behalf.

Entity Name	Executive Mental Health, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275670036 PECOS PAC ID: 0345209102 Enrollment ID: O20160512000302

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 Kristen Virginia Eddy 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 Kristen Virginia Eddy, PSYD, MACL 11835 W Olympic Blvd Ste 1265e, Los Angeles, CA 90064-5814 Ph: (310) 273-4843	Dr Kristen Virginia Eddy, PSYD, MACL 11835 W Olympic Blvd Ste 1265e, Los Angeles, CA 90064 Ph: (310) 273-4843

Reviews and Comments

Psychologist in Los Angeles, CA

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Dr. Kara Lynn Hart, PSY,D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 11500 W Olympic Blvd, Suite 500, Los Angeles, CA 90064 Phone: 310-871-7825 Fax: 310-478-6698
Molly Cevasco, PH.D., BCBA Psychologist Medicare: Medicare Enrolled Practice Location: 4650 W Sunset Blvd, Ms #53, Los Angeles, CA 90027 Phone: 323-361-3849
Dr. Adam Vogel, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 621 S Virgil Ave, #300, Los Angeles, CA 90005 Phone: 213-368-5400

Dr Kristen Virginia Eddy, PSYD, MACL - Medicare Psychologist in Los Angeles, CA