Brent R Crandal, PHD in San Diego, CA - Medicare Psychologist Provider

Brent R Crandal, PHD is a medicare enrolled "Psychologist - Clinical" provider in San Diego, California. His current practice location is 200 W Arbor Dr, San Diego, California. You can reach out to his office (for appointments etc.) via phone at (800) 926-8273.

Brent R Crandal is licensed to practice in California (license number 26294) 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 1588739452.

Contact Information

	Brent R Crandal, PHD
	200 W Arbor Dr, San Diego, CA 92103-9000
	(800) 926-8273
	(888) 539-8781

Map and Direction

Healthcare Provider's Profile

Full Name	Brent R Crandal
Gender	Male
Speciality	Psychologist - Clinical
Location	200 W Arbor Dr, San Diego, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588739452
Provider Enumeration Date: 11/22/2006
Last Update Date: 02/09/2022

Medicare PECOS Information:

PECOS PAC ID: 7113310012
Enrollment ID: I20220216001472

Medical Identifiers

Medical identifiers for Brent R Crandal such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588739452	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	26294 (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. Brent R Crandal allows following entities to bill medicare on his behalf.

Entity Name	Regents Of The University Of California
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508968967 PECOS PAC ID: 3577476761 Enrollment ID: O20031203000756

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. Brent R Crandal 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
Brent R Crandal, PHD Po Box 232410, San Diego, CA 92193-2410 Ph: () -	Brent R Crandal, PHD 200 W Arbor Dr, San Diego, CA 92103-9000 Ph: (800) 926-8273

Reviews and Comments

Psychologist in San Diego, CA

Dr. Douglas Brackmann, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3101 4th Ave, San Diego, CA 92103 Phone: 858-735-1667 Fax: 619-542-0332
Barton Palmer, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: Vasdhs Division Of Geriatric Psychiatry 116a, 3350 La Jolla Village Drive, San Diego, CA 92161 Phone: 858-552-8585
Dr. Lina Kogan-sbarbaro, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1050 University Ave Ste E107, San Diego, CA 92103 Phone: 858-504-7743 Fax: 858-216-1928
Dr. Raymond Peng, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 6540 Lusk Blvd Ste C159, San Diego, CA 92121 Phone: 858-888-9683
Meghan Hammel, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 200 West Arbor Drive, San Diego, CA 92103 Phone: 619-543-2827
Dr. Rodger Stacy Questin, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3702 4th Ave, San Diego, CA 92103 Phone: 760-607-7257
Dr. Rafael Elias Olivares Chayeb, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 480 Alta Rd, San Diego, CA 92179 Phone: 619-691-6947

Brent R Crandal, PHD - Medicare Psychologist in San Diego, CA