Dr Lourdes Valdez Humphrey, PSYD in Manteca, CA - Medicare Psychologist Provider

Dr Lourdes Valdez Humphrey, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Manteca, California. Her current practice location is 1721 W Yosemite Ave, Manteca, California. You can reach out to her office (for appointments etc.) via phone at (209) 824-5068.

Dr Lourdes Valdez Humphrey is licensed to practice in California (license number PSY27109) 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 1063629905.

Contact Information

	Dr Lourdes Valdez Humphrey, PSYD
	1721 W Yosemite Ave, Manteca, CA 95337-5130
	(209) 824-5068
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Lourdes Valdez Humphrey
Gender	Female
Speciality	Psychologist - Clinical
Location	1721 W Yosemite Ave, Manteca, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063629905
Provider Enumeration Date: 05/17/2007
Last Update Date: 01/03/2022

Medicare PECOS Information:

PECOS PAC ID: 5193007334
Enrollment ID: I20170123002070

Medical Identifiers

Medical identifiers for Dr Lourdes Valdez Humphrey such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063629905	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PSY27109 (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 Lourdes Valdez Humphrey 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 Lourdes Valdez Humphrey 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 Lourdes Valdez Humphrey, PSYD 1721 W Yosemite Ave, Manteca, CA 95337-5130 Ph: (209) 824-5068	Dr Lourdes Valdez Humphrey, PSYD 1721 W Yosemite Ave, Manteca, CA 95337-5130 Ph: (209) 824-5068

Reviews and Comments

Psychologist in Manteca, CA

Dr. Nancy Lynn Brison-moll, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 965 E Yosemite Ave Ste 12, Manteca, CA 95336 Phone: 209-483-4498 Fax: 209-824-0010
Dr. Richard Labelle, PSY. D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1789 W Yosemite Ave, Suite 101, Manteca, CA 95337 Phone: 209-858-7765
Senta Anne Cunningham, PPS Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1172 Marguerite Ave, Manteca, CA 95336 Phone: 209-647-9399
Dr. Teresa Nadine Viles-reed, PHD. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 129 E. Center St Suite 3, 129 E. Center St. Suite 3, Manteca, CA 95337 Phone: 209-239-5553 Fax: 209-239-5978
Dr. Douglas Eugene Tomson, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 801 Atherton Dr, #276, Manteca, CA 95337 Phone: 209-239-4768
Edmon Artinyan, Psychologist Medicare: Medicare Enrolled Practice Location: 1721 W Yosemite Ave, Manteca, CA 95337 Phone: 209-825-3700

Dr Lourdes Valdez Humphrey, PSYD - Medicare Psychologist in Manteca, CA