Susan L Kole, PHD in Redwood City, CA - Medicare Psychologist Provider

Susan L Kole, PHD is a medicare enrolled "Psychologist - Clinical" provider in Redwood City, California. Her current practice location is 300 Bradford St, Redwood City, California. You can reach out to her office (for appointments etc.) via phone at (650) 363-7830.

Susan L Kole is licensed to practice in California (license number PSY18369) 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 1093866915.

Contact Information

	Susan L Kole, PHD
	300 Bradford St, Redwood City, CA 94063-1530
	(650) 363-7830
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Susan L Kole
Gender	Female
Speciality	Psychologist - Clinical
Location	300 Bradford St, Redwood 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: 1093866915
Provider Enumeration Date: 01/16/2007
Last Update Date: 02/11/2008

Medicare PECOS Information:

PECOS PAC ID: 8123365459
Enrollment ID: I20190124002643

Medical Identifiers

Medical identifiers for Susan L Kole such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093866915	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PSY18369 (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. Susan L Kole allows following entities to bill medicare on her behalf.

Entity Name	County Of Santa Clara
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699885079 PECOS PAC ID: 1254244973 Enrollment ID: O20040113000784

Entity Name	County Of Santa Clara
Entity Type	Part B Supplier - Other Medical Care Group
Entity Identifiers	NPI Number: 1629301346 PECOS PAC ID: 1254244973 Enrollment ID: O20110318000170

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. Susan L Kole 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
Susan L Kole, PHD Po Box 36088, San Jose, CA 95158-6088 Ph: (408) 267-4781	Susan L Kole, PHD 300 Bradford St, Redwood City, CA 94063-1530 Ph: (650) 363-7830

Reviews and Comments

Psychologist in Redwood City, CA

Dr. Christina Ka-yi Lam, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 1400 Veterans Blvd, Redwood City, CA 94063 Phone: 650-299-6099
Dr. John Thomas Peters, PHD Psychologist Medicare: Medicare Enrolled Practice Location: Kaiser Permanente - Psychiatry Dept., 1150 Veterans Blvd., Redwood City, CA 94063 Phone: 650-299-4749
Dr. Janice Marie Schreckengost, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 611 Veterans Blvd, Suite 114, Redwood City, CA 94063 Phone: 650-430-4763
Miss Tania Isabel Texidor, PSY. D Psychologist Medicare: Medicare Enrolled Practice Location: 1400 Veterans Blvd, Redwood City, CA 94063 Phone: 650-299-6024
Dr. Royce B. Garvin, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1690 Woodside Rd Ste 211, Redwood City, CA 94061 Phone: 650-368-0210
Taylor Dichsen, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1779 Woodside Rd Ste 200, Redwood City, CA 94061 Phone: 650-424-0852 Fax: 650-424-9853
Simone Heron-carmignani, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2710 Middlefield Rd, Redwood City, CA 94063 Phone: 707-483-7046

Susan L Kole, PHD - Medicare Psychologist in Redwood City, CA