Dr Kyong H Jo, PSY D - Medicare Psychologist in Pasadena, CA

Dr Kyong H Jo, PSY D is a medicare enrolled "Psychologist - Clinical" provider in Pasadena, California. His current practice location is 1847 Sinaloa Ave, Pasadena, California. You can reach out to his office (for appointments etc.) via phone at (626) 720-7878.

Dr Kyong H Jo is licensed to practice in California (license number PSY32459) 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 1043334709.

Contact Information

Dr Kyong H Jo, PSY D
1847 Sinaloa Ave,
Pasadena, CA 91104-1559
(626) 720-7878
(626) 316-6780

Map and Direction




Healthcare Provider's Profile

Full NameDr Kyong H Jo
GenderMale
SpecialityPsychologist - Clinical
Location1847 Sinaloa Ave, Pasadena, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1043334709
  • Provider Enumeration Date: 03/19/2007
  • Last Update Date: 11/08/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 3971912064
  • Enrollment ID: I20210430000958

Medical Identifiers

Medical identifiers for Dr Kyong H Jo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043334709NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PSY32459 (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 Kyong H Jo allows following entities to bill medicare on his behalf.
Entity NameLos Angeles County Department Of Mental Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083633929
PECOS PAC ID: 7416869896
Enrollment ID: O20031104000319
Entity NameWell Mental Health Counseling Licensed Clinical Social Worker Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942080981
PECOS PAC ID: 6800244658
Enrollment ID: O20231205000355

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 Kyong H Jo 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 AddressPractice Location Address
Dr Kyong H Jo, PSY D
1847 Sinaloa Ave,
Pasadena, CA 91104-1559

Ph: (626) 720-7878
Dr Kyong H Jo, PSY D
1847 Sinaloa Ave,
Pasadena, CA 91104-1559

Ph: (626) 720-7878

Reviews and Comments


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