Nicole Vu Leba, PHD is a medicare enrolled "Psychologist" provider in San Francisco, California. Her current practice location is
995 Potrero Ave Sfgh/casarc Ward 82, San Francisco, California. You can reach out to her office (for appointments etc.) via phone at
(628) 206-8386.
Nicole Vu Leba is licensed to practice in California (license number 34023) 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 1881308898.
Healthcare Provider's Profile
| Full Name | Nicole Vu Leba |
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| Gender | Female |
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| Speciality | Psychologist |
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| Location | 995 Potrero Ave Sfgh/casarc Ward 82, San Francisco, 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: 1881308898
- Provider Enumeration Date: 01/13/2023
- Last Update Date: 02/08/2023
Medicare PECOS Information:
- PECOS PAC ID: 6305381401
- Enrollment ID: I20240712003045
Medical Identifiers
Medical identifiers for Nicole Vu Leba such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1881308898 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | 34023 (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. Nicole Vu Leba allows following entities to bill medicare on her behalf.
| Entity Name | City & County Of San Francisco |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1982737524
PECOS PAC ID: 1658280748
Enrollment ID: O20050309000770 |
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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. Nicole Vu Leba 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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Nicole Vu Leba, PHD
995 Potrero Ave Sfgh/casarc Ward 82,
San Francisco, CA 94110
Ph: () - | Nicole Vu Leba, PHD
995 Potrero Ave Sfgh/casarc Ward 82,
San Francisco, CA 94110
Ph: (628) 206-8386 |
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