Lyssette Marie Rodriguez, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Burbank, California. She graduated from healthcare school in 2021 and has 4 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Pacific Coast Psychiatric Associates Inc and her current practice location is
191 S Buena Vista St Ste 300, Burbank, California. You can reach out to her office (for appointments etc.) via phone at
(925) 282-1778.
Lyssette Marie Rodriguez is licensed to practice in California (license number PSY35760) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1184118119.
Healthcare Provider's Profile
| Full Name | Lyssette Marie Rodriguez |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 4 Years |
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| Location | 191 S Buena Vista St Ste 300, Burbank, California |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Lyssette Marie Rodriguez graduated from medical school in 2021
NPI Data:
- NPI Number: 1184118119
- Provider Enumeration Date: 06/22/2018
- Last Update Date: 03/28/2025
Medicare PECOS Information:
- PECOS PAC ID: 0941724173
- Enrollment ID: I20250409003357
Medical Identifiers
Medical identifiers for Lyssette Marie Rodriguez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1184118119 | 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 | PSY35760 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Pacific Coast Psychiatric Associates Inc | 2567469174 | 334 |
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. Lyssette Marie Rodriguez allows following entities to bill medicare on her behalf.
| Entity Name | Pacific Coast Psychiatric Associates Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1023125465
PECOS PAC ID: 2567469174
Enrollment ID: O20061024000383 |
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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. Lyssette Marie Rodriguez 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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Lyssette Marie Rodriguez, PSYD
191 S Buena Vista St Ste 300,
Burbank, CA 91505-4556
Ph: (925) 282-1778 | Lyssette Marie Rodriguez, PSYD
191 S Buena Vista St Ste 300,
Burbank, CA 91505-4556
Ph: (925) 282-1778 |
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