Katrina Domingo, PSYD in Walnut Creek, CA - Medicare Psychologist Provider

Katrina Domingo, PSYD is a medicare enrolled "Psychologist" provider in Walnut Creek, California. Her current practice location is 710 S Broadway, Suite #209, Walnut Creek, California. You can reach out to her office (for appointments etc.) via phone at (925) 295-4901.

Katrina Domingo is licensed to practice in California (license number 26237) 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 1023325792.

Contact Information

	Katrina Domingo, PSYD
	710 S Broadway, Suite #209, Walnut Creek, CA 94596-5294
	(925) 295-4901
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Katrina Domingo
Gender	Female
Speciality	Psychologist
Location	710 S Broadway, Walnut Creek, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023325792
Provider Enumeration Date: 09/01/2010
Last Update Date: 01/03/2022

Medicare PECOS Information:

PECOS PAC ID: 4587883160
Enrollment ID: I20140912001375

Medical Identifiers

Medical identifiers for Katrina Domingo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023325792	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	26237 (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. Katrina Domingo allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Katrina Domingo 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
Katrina Domingo, PSYD 710 S Broadway, Suite #209, Walnut Creek, CA 94596-5294 Ph: (925) 295-4901	Katrina Domingo, PSYD 710 S Broadway, Suite #209, Walnut Creek, CA 94596-5294 Ph: (925) 295-4901

Reviews and Comments

Psychologist in Walnut Creek, CA

Howard P Rome Jr., PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 450 N Wiget Ln, Walnut Creek, CA 94598 Phone: 925-482-8111 Fax: 925-482-1166
Jorge Bell, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 313 Lennon Ln Ste 100, Walnut Creek, CA 94598 Phone: 925-289-1090 Fax: 925-289-1239
Dr. Darrell Ray Christian, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2950 Camino Diablo, Suite 120, Walnut Creek, CA 94597 Phone: 925-935-8646 Fax: 925-935-8646
Dr. Susan K. Faron, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1280 Boulevard Way Ste 206, Walnut Creek, CA 94595 Phone: 925-932-2090
Zeinab Mossadeghi, Psychologist Medicare: May Accept Medicare Assignments Practice Location: 1910 Olympic Blvd Ste 220, Walnut Creek, CA 94596 Phone: 310-773-7013
Ms. Rhonda Yvonne Fugazi, LMFT, LEP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 43 Quail Court Suite 211, Walnut Creek, CA 94596 Phone: 925-297-5234

Katrina Domingo, PSYD - Medicare Psychologist in Walnut Creek, CA