Dr Angela Janet Estrada Patino, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Escondido, California. Her current practice location is
460 N Elm St, Escondido, California. You can reach out to her office (for appointments etc.) via phone at
(760) 520-8100.
Dr Angela Janet Estrada Patino is licensed to practice in California (license number PSY31789) 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 1629339015.
Healthcare Provider's Profile
| Full Name | Dr Angela Janet Estrada Patino |
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| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 460 N Elm St, Escondido, 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: 1629339015
- Provider Enumeration Date: 06/02/2012
- Last Update Date: 12/23/2022
Medicare PECOS Information:
- PECOS PAC ID: 4486085925
- Enrollment ID: I20200515002310
Medical Identifiers
Medical identifiers for Dr Angela Janet Estrada Patino such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1629339015 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | PSY31789 (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 Angela Janet Estrada Patino allows following entities to bill medicare on her behalf.
| Entity Name | Neighborhood Healthcare |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1598703647
PECOS PAC ID: 5294649406
Enrollment ID: O20031112000809 |
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| Entity Name | Pacific Neurobehavioral Clinic Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1952724817
PECOS PAC ID: 9234454422
Enrollment ID: O20150210002211 |
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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 Angela Janet Estrada Patino 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 Angela Janet Estrada Patino, PSYD
460 N Elm St,
Escondido, CA 92025-3002
Ph: (760) 520-8100 | Dr Angela Janet Estrada Patino, PSYD
460 N Elm St,
Escondido, CA 92025-3002
Ph: (760) 520-8100 |
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