Elizabeth Pasipanodya, PHD in San Jose, CA - Medicare Psychologist Provider

Elizabeth Pasipanodya, PHD is a medicare enrolled "Psychologist - Clinical" provider in San Jose, California. Her current practice location is 751 S Bascom Ave, San Jose, California. You can reach out to her office (for appointments etc.) via phone at (408) 793-5719.

Elizabeth Pasipanodya is licensed to practice in California (license number PSY30100) 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 1376922757.

Contact Information

	Elizabeth Pasipanodya, PHD
	751 S Bascom Ave, San Jose, CA 95128-2699
	(408) 793-5719
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Elizabeth Pasipanodya
Gender	Female
Speciality	Psychologist - Clinical
Location	751 S Bascom Ave, San Jose, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376922757
Provider Enumeration Date: 05/19/2015
Last Update Date: 11/03/2021

Medicare PECOS Information:

PECOS PAC ID: 2567856164
Enrollment ID: I20220224001699

Medical Identifiers

Medical identifiers for Elizabeth Pasipanodya such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376922757	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PSY30100 (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. Elizabeth Pasipanodya allows following entities to bill medicare on her behalf.

Entity Name	County Of Santa Clara
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659450955 PECOS PAC ID: 1254244973 Enrollment ID: O20040113000757

Entity Name	County Of Santa Clara
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699885079 PECOS PAC ID: 1254244973 Enrollment ID: O20040113000784

Entity Name	County Of Santa Clara
Entity Type	Part B Supplier - Other Medical Care Group
Entity Identifiers	NPI Number: 1629301346 PECOS PAC ID: 1254244973 Enrollment ID: O20110318000170

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. Elizabeth Pasipanodya 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
Elizabeth Pasipanodya, PHD 828 S Bascom Ave Ste 280, San Jose, CA 95128-2653 Ph: (408) 649-9756	Elizabeth Pasipanodya, PHD 751 S Bascom Ave, San Jose, CA 95128-2699 Ph: (408) 793-5719

Reviews and Comments

Psychologist in San Jose, CA

Dr. Rethel E. Gill, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1927 Otoole Way, San Jose, CA 95131 Phone: 707-861-8276
Marie Roman-clifton, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 751 S Bascom Ave, Psychology Services-pm&r, San Jose, CA 95128 Phone: 408-885-4445
Dr. Jennifer Gregg, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: Dept Of Psychology, One Washington Square, San Jose, CA 95192 Phone: 650-743-7230
Ms. Nicole Alvarez Bautista, BA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2400 Moorpark Ave, San Jose, CA 95128 Phone: 408-975-2730
Mr. Donald B Dufford, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3880 S Bascom Ave, Suite 212, San Jose, CA 95124 Phone: 408-559-9088 Fax: 408-377-7833
Dr. Sepideh Afrakhteh Katz, PH. D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3500 Zanker Road, San Jose, CA 95134 Phone: 408-451-6198
Dr. Kelly Sue Lynch, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 2001 The Alameda, Momentum For Mental Health Service Team Adult Outpatie, San Jose, CA 95126 Phone: 408-261-7777 Fax: 408-259-2273

Elizabeth Pasipanodya, PHD - Medicare Psychologist in San Jose, CA