Theresia Choi Bae, LICENSE PSYCHOLOGIS in Van Nuys, CA

Theresia Choi Bae, LICENSE PSYCHOLOGIS is a medicare enrolled "Psychologist - Clinical" provider in Van Nuys, California. Her current practice location is 15350 Sherman Way Ste 200, Van Nuys, California. You can reach out to her office (for appointments etc.) via phone at (818) 267-1100.

Theresia Choi Bae is licensed to practice in California (license number 33325) 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 1093767204.

Contact Information

	Theresia Choi Bae, LICENSE PSYCHOLOGIS
	15350 Sherman Way Ste 200, Van Nuys, CA 91406-4458
	(818) 267-1100
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Theresia Choi Bae
Gender	Female
Speciality	Psychologist - Clinical
Location	15350 Sherman Way Ste 200, Van Nuys, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093767204
Provider Enumeration Date: 05/16/2006
Last Update Date: 07/13/2022

Medicare PECOS Information:

PECOS PAC ID: 5991718264
Enrollment ID: I20220830004264

Medical Identifiers

Medical identifiers for Theresia Choi Bae such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093767204	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LCS23286 (California)	Secondary
225400000X	Rehabilitation Practitioner	(* (Not Available))	Secondary
225C00000X	Rehabilitation Counselor	(* (Not Available))	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
103TC0700X	Psychologist - Clinical	33325 (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. Theresia Choi Bae allows following entities to bill medicare on her behalf.

Entity Name	Special Service For Groups
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952442949 PECOS PAC ID: 2769396886 Enrollment ID: O20031113000561

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. Theresia Choi Bae 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
Theresia Choi Bae, LICENSE PSYCHOLOGIS 15350 Sherman Way Ste 200, Van Nuys, CA 91406-4458 Ph: (818) 267-1100	Theresia Choi Bae, LICENSE PSYCHOLOGIS 15350 Sherman Way Ste 200, Van Nuys, CA 91406-4458 Ph: (818) 267-1100

Reviews and Comments

Psychologist in Van Nuys, CA

Corrine Marie Leikam, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 15235 Burbank Blvd Ste B4, Van Nuys, CA 91411 Phone: 213-927-6770
Virginia B Baldioli, LMFT MARRIAGE & FAMI Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6850 Van Nuys Blvd Ste 202, Van Nuys, CA 91405 Phone: 818-786-2079 Fax: 818-304-0714
Dr. Caren Caty, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6931 Van Nuys Blvd, Suite 102, Van Nuys, CA 91405 Phone: 818-376-0134
Sheryl Hill, C.HT. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 15025 Archwood St, Van Nuys, CA 91405 Phone: 818-285-8590 Fax: 818-285-8590
Mr. Ian Hunter, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 16360 Roscoe Blvd, Suite 200, Van Nuys, CA 91406 Phone: 818-901-4830
Aaron Smith, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 14960 Sherman Way, A111, Van Nuys, CA 91405 Phone: 989-906-3667
Jessica Jeanette Torres, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 15339 Saticoy Street, Van Nuys, CA 91406 Phone: 818-267-2646 Fax: 818-267-2691

Theresia Choi Bae, LICENSE PSYCHOLOGIS - Medicare Psychologist in Van Nuys, CA