Dr Samantha Kucaj, in Los Angeles, CA - Medicare Psychologist Provider

Dr Samantha Kucaj, is a medicare enrolled "Psychologist - Clinical Child & Adolescent" provider in Los Angeles, California. Her current practice location is 300 Ucla Medical Plz Ste 3300, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (323) 825-0867.

Dr Samantha Kucaj is licensed to practice in California (license number PSY30599) 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 1811444599.

Contact Information

	Dr Samantha Kucaj,
	300 Ucla Medical Plz Ste 3300, Los Angeles, CA 90095-6062
	(323) 825-0867
	(310) 206-4215

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Samantha Kucaj
Gender	Female
Speciality	Psychologist - Clinical Child & Adolescent
Location	300 Ucla Medical Plz Ste 3300, 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: 1811444599
Provider Enumeration Date: 09/09/2016
Last Update Date: 03/25/2021

Medicare PECOS Information:

PECOS PAC ID: 6901230309
Enrollment ID: I20191217002930

Medical Identifiers

Medical identifiers for Dr Samantha Kucaj such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811444599	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC2200X	Psychologist - Clinical Child & Adolescent	PSY30599 (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 Samantha Kucaj allows following entities to bill medicare on her behalf.

Entity Name	Uc Regents
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982667663 PECOS PAC ID: 4587568829 Enrollment ID: O20031119001005

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 Samantha Kucaj 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 Samantha Kucaj, 5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631 Ph: (310) 301-8807	Dr Samantha Kucaj, 300 Ucla Medical Plz Ste 3300, Los Angeles, CA 90095-6062 Ph: (323) 825-0867

Reviews and Comments

Psychologist in Los Angeles, CA

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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 Samantha Kucaj, - Medicare Psychologist in Los Angeles, CA