Mr Walter Brown, PHD in Culver City, CA - Medicare Psychologist Provider

Mr Walter Brown, PHD is a medicare enrolled "Psychologist" provider in Culver City, California. His current practice location is 5800 Hannum Ave., Ste 100, Culver City, California. You can reach out to his office (for appointments etc.) via phone at (310) 410-9504.

Mr Walter Brown is licensed to practice in California (license number PSY19358) 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 1477658680.

Contact Information

	Mr Walter Brown, PHD
	5800 Hannum Ave., Ste 100, Culver City, CA 90230
	(310) 410-9504
	(310) 410-9507

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Walter Brown
Gender	Male
Speciality	Psychologist
Location	5800 Hannum Ave., Culver City, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477658680
Provider Enumeration Date: 09/13/2006
Last Update Date: 04/05/2024

Medicare PECOS Information:

PECOS PAC ID: 0345276804
Enrollment ID: I20050715000374

Medical Identifiers

Medical identifiers for Mr Walter Brown such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477658680	NPI	-	NPPES
FC392A	Other	CA	MEDICARE PTAN
PSY 193580	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PSY 19358 (California)	Secondary
103T00000X	Psychologist	PSY19358 (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 Walter Brown allows following entities to bill medicare on his behalf.

Entity Name	Walter Brown, Ph.d., A Psychological Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154646271 PECOS PAC ID: 1658559984 Enrollment ID: O20110708000483

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 Walter Brown 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 Walter Brown, PHD 5800 Hannum Ave., Ste 100, Culver City, CA 90230 Ph: (310) 410-9504	Mr Walter Brown, PHD 5800 Hannum Ave., Ste 100, Culver City, CA 90230 Ph: (310) 410-9504

Reviews and Comments

Psychologist in Culver City, CA

Dr. Sara Michele Mehrabani, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 9696 Culver Blvd Ste 303, Culver City, CA 90232 Phone: 323-909-9263
Dr. Janis Rosenberg, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5000 Overland Ave, Culver City, CA 90230 Phone: 310-841-0302
Dr. Patricia A. Ziegler, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10837 Franklin Ave, Culver City, CA 90230 Phone: 310-859-5880
Dr. Franklin Carvajal, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 3567 Wesley St, Culver City, CA 90232 Phone: 540-818-4304 Fax: 323-488-9569
Ms. Deanna Michelle Olivas, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10533 Washington Blvd, Culver City, CA 90232 Phone: 310-694-5590
Dr. Linda Edna Weinberger, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10825 Bernardo Rd, Culver City, CA 90230 Phone: 310-837-1170
Chisato Komatsu, BCBA-D, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 6210 Bristol Pkwy Apt 206, Culver City, CA 90230 Phone: 213-407-9048

Mr Walter Brown, PHD - Medicare Psychologist in Culver City, CA