Lydia Victoria Santiago, PHD in San Francisco, CA - Medicare Psychologist Provider

Lydia Victoria Santiago, PHD is a medicare enrolled "Psychologist - Clinical Child & Adolescent" provider in San Francisco, California. Her current practice location is 1001 Potrero Ave, San Francisco, California. You can reach out to her office (for appointments etc.) via phone at (415) 206-8492.

Lydia Victoria Santiago is licensed to practice in California (license number PSY13288) 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 1255567335.

Contact Information

	Lydia Victoria Santiago, PHD
	1001 Potrero Ave, San Francisco, CA 94110-3518
	(415) 206-8492
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Lydia Victoria Santiago
Gender	Female
Speciality	Psychologist - Clinical Child & Adolescent
Location	1001 Potrero Ave, San Francisco, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255567335
Provider Enumeration Date: 06/03/2009
Last Update Date: 06/03/2009

Medicare PECOS Information:

PECOS PAC ID: 7214088517
Enrollment ID: I20090626000223

Medical Identifiers

Medical identifiers for Lydia Victoria Santiago such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255567335	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC2200X	Psychologist - Clinical Child & Adolescent	PSY13288 (California)	Primary
103TH0004X	Psychologist - Health	PSY13288 (California)	Secondary

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. Lydia Victoria Santiago allows following entities to bill medicare on her behalf.

Entity Name	City & County Of San Francisco
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982737524 PECOS PAC ID: 1658280748 Enrollment ID: O20050309000770

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. Lydia Victoria Santiago 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
Lydia Victoria Santiago, PHD 2811 Nevin Ave, Richmond, CA 94804-1749 Ph: (510) 233-8297	Lydia Victoria Santiago, PHD 1001 Potrero Ave, San Francisco, CA 94110-3518 Ph: (415) 206-8492

Reviews and Comments

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Lydia Victoria Santiago, PHD - Medicare Psychologist in San Francisco, CA