Xin Lyu, in San Jose, CA - Medicare Psychologist Provider

Xin Lyu, is a medicare enrolled "Psychologist - Clinical" provider in San Jose, California. Her current practice location is 2400 Moorpark Ave Ste 300, San Jose, California. You can reach out to her office (for appointments etc.) via phone at (408) 975-2730.

Xin Lyu is licensed to practice in District Of Columbia (license number PSY200001580) 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 1407338601.

Contact Information

	Xin Lyu,
	2400 Moorpark Ave Ste 300, San Jose, CA 95128-2680
	(408) 975-2730
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Xin Lyu
Gender	Female
Speciality	Psychologist - Clinical
Location	2400 Moorpark Ave Ste 300, San Jose, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407338601
Provider Enumeration Date: 09/04/2018
Last Update Date: 06/27/2024

Medicare PECOS Information:

PECOS PAC ID: 5991183261
Enrollment ID: I20220531000155

Medical Identifiers

Medical identifiers for Xin Lyu such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407338601	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PSY200001580 (District Of Columbia)	Primary
103T00000X	Psychologist	PSY33304 (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. Xin Lyu allows following entities to bill medicare on her behalf.

Entity Name	Asian Americans For Community Involvement Of Santa Clara County
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750490363 PECOS PAC ID: 7719880533 Enrollment ID: O20040129000646

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. Xin Lyu 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
Xin Lyu, 2400 Moorpark Ave Ste 300, San Jose, CA 95128-2680 Ph: (408) 975-2730	Xin Lyu, 2400 Moorpark Ave Ste 300, San Jose, CA 95128-2680 Ph: (408) 975-2730

Reviews and Comments

Psychologist in San Jose, CA

Dr. Rethel E. Gill, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1927 Otoole Way, San Jose, CA 95131 Phone: 707-861-8276
Marie Roman-clifton, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 751 S Bascom Ave, Psychology Services-pm&r, San Jose, CA 95128 Phone: 408-885-4445
Dr. Jennifer Gregg, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: Dept Of Psychology, One Washington Square, San Jose, CA 95192 Phone: 650-743-7230
Ms. Nicole Alvarez Bautista, BA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2400 Moorpark Ave, San Jose, CA 95128 Phone: 408-975-2730
Mr. Donald B Dufford, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3880 S Bascom Ave, Suite 212, San Jose, CA 95124 Phone: 408-559-9088 Fax: 408-377-7833
Dr. Sepideh Afrakhteh Katz, PH. D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3500 Zanker Road, San Jose, CA 95134 Phone: 408-451-6198
Dr. Kelly Sue Lynch, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 2001 The Alameda, Momentum For Mental Health Service Team Adult Outpatie, San Jose, CA 95126 Phone: 408-261-7777 Fax: 408-259-2273

Xin Lyu, - Medicare Psychologist in San Jose, CA