Dr Robert Louis Dutile, PHD in Clovis, CA - Medicare Psychologist Provider

Dr Robert Louis Dutile, PHD is a medicare enrolled "Psychologist - Clinical" provider in Clovis, California. His current practice location is 6365 N Constellation Ave, Clovis, California. You can reach out to his office (for appointments etc.) via phone at (559) 908-8403.

Dr Robert Louis Dutile is licensed to practice in California (license number PSY20682) 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 1881892511.

Contact Information

	Dr Robert Louis Dutile, PHD
	6365 N Constellation Ave, Clovis, CA 93619-6301
	(559) 908-8403
	(888) 518-1501

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Robert Louis Dutile
Gender	Male
Speciality	Psychologist - Clinical
Location	6365 N Constellation Ave, Clovis, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1881892511
Provider Enumeration Date: 07/03/2007
Last Update Date: 07/18/2024

Medicare PECOS Information:

PECOS PAC ID: 4688715980
Enrollment ID: I20100108000494

Medical Identifiers

Medical identifiers for Dr Robert Louis Dutile such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881892511	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PSY20682 (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. Dr Robert Louis Dutile allows following entities to bill medicare on his behalf.

Entity Name	Pacific Coast Psychology Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932647468 PECOS PAC ID: 9335410729 Enrollment ID: O20170803000623

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. Dr Robert Louis Dutile 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
Dr Robert Louis Dutile, PHD 6365 N Constellation Ave, Clovis, CA 93619-6301 Ph: (559) 908-8403	Dr Robert Louis Dutile, PHD 6365 N Constellation Ave, Clovis, CA 93619-6301 Ph: (559) 908-8403

Reviews and Comments

Psychologist in Clovis, CA

Dr. Paula Jean Willis, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1920 N Burl Ave, Clovis, CA 93619 Phone: 559-274-2475 Fax: 559-325-1919
Heather Pedersen, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 264 Clovis Ave # 104, Clovis, CA 93612 Phone: 559-777-9061
Dr. Samuel A Montano, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 255 W Bullard Ave Ste 101, Clovis, CA 93612 Phone: 559-443-8687
Alexa Hilary Wasserman-toncheff, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3128 Willow, Suite 102, Clovis, CA 93612 Phone: 559-307-5814
Dr. Alexia Baca Morgan, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 106 Pollasky, A, Clovis, CA 93612 Phone: 559-298-9310 Fax: 559-298-9310
Dr. Randall Robinson, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 3128 Willow Ave, Suite 102, Clovis, CA 93612 Phone: 559-292-3100 Fax: 559-291-5229
Dr. Kenneth John Carr, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 641 N Fowler Ave, Apt #255, Clovis, CA 93611 Phone: 209-201-2299

Dr Robert Louis Dutile, PHD - Medicare Psychologist in Clovis, CA