Dr Damon Christopher Corgiat, PHD is a medicare enrolled "Psychologist - Clinical" provider in Rancho Cucamonga, California. His current practice location is
8300 Utica Ave Ste 245, Rancho Cucamonga, California. You can reach out to his office (for appointments etc.) via phone at
(909) 989-4055.
Dr Damon Christopher Corgiat is licensed to practice in California (license number PSY34178) 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 1205223849.
Healthcare Provider's Profile
| Full Name | Dr Damon Christopher Corgiat |
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| Gender | Male |
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| Speciality | Psychologist - Clinical |
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| Location | 8300 Utica Ave Ste 245, Rancho Cucamonga, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1205223849
- Provider Enumeration Date: 04/21/2015
- Last Update Date: 08/23/2024
Medicare PECOS Information:
- PECOS PAC ID: 4880128263
- Enrollment ID: I20241107001247
Medical Identifiers
Medical identifiers for Dr Damon Christopher Corgiat such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1205223849 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | 9133595-6010 (Utah) | Secondary |
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | PSY34178 (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 Damon Christopher Corgiat allows following entities to bill medicare on his behalf.
| Entity Name | Optum Behavioral Care Of California, P.c. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1417718297
PECOS PAC ID: 7810304375
Enrollment ID: O20210329001988 |
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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 Damon Christopher Corgiat 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 |
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Dr Damon Christopher Corgiat, PHD
21766 Alvarez,
Mission Viejo, CA 92691-1234
Ph: (801) 808-7435 | Dr Damon Christopher Corgiat, PHD
8300 Utica Ave Ste 245,
Rancho Cucamonga, CA 91730-3852
Ph: (909) 989-4055 |
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