Lewis L Canyon, PSYD in Castro Valley, CA - Medicare Psychologist Provider

Lewis L Canyon, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Castro Valley, California. His current practice location is 19310 Parkview Rd, Castro Valley, California. You can reach out to his office (for appointments etc.) via phone at (510) 798-0068.

Lewis L Canyon is licensed to practice in California (license number 34739) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1265714125.

Contact Information

	Lewis L Canyon, PSYD
	19310 Parkview Rd, Castro Valley, CA 94546-3733
	(510) 798-0068
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Lewis L Canyon
Gender	Male
Speciality	Psychologist - Clinical
Location	19310 Parkview Rd, Castro Valley, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265714125
Provider Enumeration Date: 09/15/2011
Last Update Date: 12/15/2023

Medicare PECOS Information:

PECOS PAC ID: 4587007273
Enrollment ID: I20240209001365

Medical Identifiers

Medical identifiers for Lewis L Canyon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265714125	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	34739 (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. Lewis L Canyon allows following entities to bill medicare on his behalf.

Entity Name	Grow Healthcare Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080

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. Lewis L Canyon 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
Lewis L Canyon, PSYD 19310 Parkview Rd, Castro Valley, CA 94546-3733 Ph: (510) 798-0068	Lewis L Canyon, PSYD 19310 Parkview Rd, Castro Valley, CA 94546-3733 Ph: (510) 798-0068

Reviews and Comments

Psychologist in Castro Valley, CA

Dr. Helena Edith Weil, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 20996 Redwood Rd, Castro Valley, CA 94546 Phone: 510-525-3529 Fax: 510-525-3529
Dr. Kirsten Toverud Severson, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 18037 Joseph Drive, Castro Valley, CA 94546 Phone: 510-581-7416 Fax: 510-728-1882
Dr. Judith Linzer, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 20200 Redwood Road, Suite 2, Castro Valley, CA 94546 Phone: 510-887-8819 Fax: 510-655-7974
Stacey Lillard, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4400 Alma Ave, Castro Valley, CA 94546 Phone: 510-364-6591
Javarte Bobino, LEP 3492 Psychologist Medicare: Not Enrolled in Medicare Practice Location: 20200 Redwood Rd Ste 8, Castro Valley, CA 94546 Phone: 510-833-1620
Dr. John A. Hilmo, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 20980 Redwood Rd, Suite 230, Castro Valley, CA 94546 Phone: 510-889-8645 Fax: 510-727-0877

Lewis L Canyon, PSYD - Medicare Psychologist in Castro Valley, CA