Dr Nichole Janelle Mckenzie, PSYD in West Covina, CA

Dr Nichole Janelle Mckenzie, PSYD is a medicare enrolled "Psychologist - Clinical" provider in West Covina, California. Her current practice location is 100 N Barranca St Ste 130, West Covina, California. You can reach out to her office (for appointments etc.) via phone at (626) 433-1311.

Dr Nichole Janelle Mckenzie is licensed to practice in California (license number PSY27389) 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 1336292820.

Contact Information

	Dr Nichole Janelle Mckenzie, PSYD
	100 N Barranca St Ste 130, West Covina, CA 91791-1637
	(626) 433-1311
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Nichole Janelle Mckenzie
Gender	Female
Speciality	Psychologist - Clinical
Location	100 N Barranca St Ste 130, West Covina, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336292820
Provider Enumeration Date: 01/19/2007
Last Update Date: 01/14/2025

Medicare PECOS Information:

PECOS PAC ID: 9234529710
Enrollment ID: I20211124002170

Medical Identifiers

Medical identifiers for Dr Nichole Janelle Mckenzie such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336292820	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PSY27389 (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 Nichole Janelle Mckenzie allows following entities to bill medicare on her behalf.

Entity Name	Pacific Clinics
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255496105 PECOS PAC ID: 4082008420 Enrollment ID: O20220228001926

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 Nichole Janelle Mckenzie 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 Nichole Janelle Mckenzie, PSYD Po Box 470064, Los Angeles, CA 90047-9564 Ph: (213) 219-8182	Dr Nichole Janelle Mckenzie, PSYD 100 N Barranca St Ste 130, West Covina, CA 91791-1637 Ph: (626) 433-1311

Reviews and Comments

Psychologist in West Covina, CA

Dr. Jack Boghosian, PH. D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1502 W West Covina Pkwy, West Covina, CA 91790 Phone: 626-480-5214
Dr. Pamela Theresa Mcfarland, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 919 N Sunset Ave, West Covina, CA 91790 Phone: 800-257-8715 Fax: 800-819-1655
Dr. Sarah Virginia Adams, PSY.D. LMFT Psychologist Medicare: Medicare Enrolled Practice Location: 260 S Glendora Ave Ste 106-107, West Covina, CA 91790 Phone: 626-919-2584 Fax: 626-918-4610
Dr. Farshideh Fara Morshedian, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 919 N Sunset Ave, West Covina, CA 91790 Phone: 800-257-8715 Fax: 800-819-1655
Dr. Kathy Lynn Parish, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 919 N Sunset Ave, West Covina, CA 91790 Phone: 800-257-8715
Dr. Gregory Sean Kovacs, Psychologist Medicare: Medicare Enrolled Practice Location: 919 N Sunset Ave, West Covina, CA 91790 Phone: 800-257-8715 Fax: 800-819-1655
Dr. Wick Joseph Hauprich, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1502 W West Covina Pkwy, West Covina, CA 91790 Phone: 626-480-5234 Fax: 626-480-5109

Dr Nichole Janelle Mckenzie, PSYD - Medicare Psychologist in West Covina, CA