Mr Robert John Koranda, PSYD in Patton, CA - Medicare Psychologist Provider

Mr Robert John Koranda, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Patton, California. His current practice location is 3102 E. Highland Avenue, Medical Staff Office, Patton, California. You can reach out to his office (for appointments etc.) via phone at (909) 425-7679.

Mr Robert John Koranda is licensed to practice in California (license number PSY22821) 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 1508199159.

Contact Information

	Mr Robert John Koranda, PSYD
	3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369
	(909) 425-7679
	(909) 425-6635

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Robert John Koranda
Gender	Male
Speciality	Psychologist - Clinical
Location	3102 E. Highland Avenue, Patton, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508199159
Provider Enumeration Date: 09/15/2009
Last Update Date: 08/23/2013

Medicare PECOS Information:

PECOS PAC ID: 8325185556
Enrollment ID: I20091021000245

Medical Identifiers

Medical identifiers for Mr Robert John Koranda such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508199159	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PSY22821 (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. Mr Robert John Koranda allows following entities to bill medicare on his behalf.

Entity Name	Department Of State Hospitals
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124078704 PECOS PAC ID: 9638174238 Enrollment ID: O20081031000305

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. Mr Robert John Koranda 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
Mr Robert John Koranda, PSYD 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 Ph: (909) 425-7679	Mr Robert John Koranda, PSYD 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 Ph: (909) 425-7679

Reviews and Comments

Psychologist in Patton, CA

Dr. Crystal Mueller, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3102 E. Highland Ave., Patton State Hospital, Patton, CA 92369 Phone: 909-425-7628
Dr. Devin Randle, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 3102 E Highland Ave, Patton, CA 92369 Phone: 909-672-6394
Dr. Victoria May King Palenscar, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3102 E Highland Ave, Patton, CA 92369 Phone: 909-425-7791
Dr. Donna L Robinson, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3102 East Highland Ave, Patton, CA 92369 Phone: 909-425-7000 Fax: 909-425-7520
Kelly Jean Hunsicker, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 Phone: 909-425-7679 Fax: 909-425-6635
Dr. Troy Steven Freimuth, PSY. D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3102 E Highland Ave, Patton, CA 92369 Phone: 909-425-6043
Melanie Ann Byde, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 Phone: 909-425-7679 Fax: 909-425-6635

Mr Robert John Koranda, PSYD - Medicare Psychologist in Patton, CA