Dr Kathleen M Condon, PSYD - Medicare Psychologist in Santa Cruz, CA

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Dr Kathleen M Condon, PSYD is a medicare enrolled "Psychologist" provider in Santa Cruz, California. Her current practice location is 1080 Emeline Ave, Santa Cruz, California. You can reach out to her office (for appointments etc.) via phone at (831) 454-4100.

Dr Kathleen M Condon is licensed to practice in California (license number 24048) 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 1053580308.

Contact Information

Dr Kathleen M Condon, PSYD
1080 Emeline Ave,
Santa Cruz, CA 95060-1966
(831) 454-4100
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Kathleen M Condon
GenderFemale
SpecialityPsychologist
Location1080 Emeline Ave, Santa Cruz, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1053580308
  • Provider Enumeration Date: 02/20/2008
  • Last Update Date: 08/29/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6103145719
  • Enrollment ID: I20150504000974

Medical Identifiers

Medical identifiers for Dr Kathleen M Condon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053580308NPI-NPPES
24048OtherCAPSYCHOLOGIST LICENSE NUMBER
1659315430OtherCANPI ORGANIZATION LEGAL ENTITY
FHC70042FMedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist PSY-202418 (Idaho)Secondary
103T00000XPsychologist 24048 (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 Kathleen M Condon allows following entities to bill medicare on her behalf.
Entity NameCounty Of Santa Cruz
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659315430
PECOS PAC ID: 7618872912
Enrollment ID: O20031201000370
Entity NameCounty Of Santa Cruz
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770709149
PECOS PAC ID: 7618872912
Enrollment ID: O20031201000402

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 Kathleen M Condon 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 AddressPractice Location Address
Dr Kathleen M Condon, PSYD
1080 Emeline Avenue,
Santa Cruz, CA 95060-1976

Ph: (831) 454-4872		Dr Kathleen M Condon, PSYD
1080 Emeline Ave,
Santa Cruz, CA 95060-1966

Ph: (831) 454-4100

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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