Dr Mark William Bondi, PHD is a medicare enrolled "Clinical Neuropsychologist" provider in San Diego, California. His current practice location is
3350 La Jolla Village Dr, Va San Diego Healthcare System (116b), San Diego, California. You can reach out to his office (for appointments etc.) via phone at
(858) 552-8585.
Dr Mark William Bondi is licensed to practice in California (license number PSY13383) 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 1922030253.
Healthcare Provider's Profile
| Full Name | Dr Mark William Bondi |
|---|
| Gender | Male |
|---|
| Speciality | Clinical Neuropsychologist |
|---|
| Location | 3350 La Jolla Village Dr, San Diego, California |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1922030253
- Provider Enumeration Date: 07/07/2006
- Last Update Date: 07/27/2016
Medicare PECOS Information:
- PECOS PAC ID: 8820170335
- Enrollment ID: I20080123000364
Medical Identifiers
Medical identifiers for Dr Mark William Bondi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1922030253 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | PSY13383 (California) | Secondary |
| 103TA0700X | Psychologist - Adult Development & Aging | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | PSY13383 (California) | Secondary |
| 103G00000X | Clinical Neuropsychologist | PSY13383 (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 Mark William Bondi allows following entities to bill medicare on his behalf.
| Entity Name | Regents Of The University Of California |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1508968967
PECOS PAC ID: 3577476761
Enrollment ID: O20031203000756 |
|---|
| Entity Name | Mark W Bondi Phd Abpp-cn Psychologist Apc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1285358143
PECOS PAC ID: 2769847367
Enrollment ID: O20230504001118 |
|---|
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 Mark William Bondi 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 Mark William Bondi, PHD
Po Box 232410,
San Diego, CA 92193-2410
Ph: (858) 534-6200 | Dr Mark William Bondi, PHD
3350 La Jolla Village Dr, Va San Diego Healthcare System (116b),
San Diego, CA 92161-0002
Ph: (858) 552-8585 |
Reviews and Comments