Dr Gabriel Crenshaw Jr, PSYD in Santa Monica, CA - Medicare Psychologist Provider

Dr Gabriel Crenshaw Jr, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Santa Monica, California. His current practice location is 401 Wilshire Blvd Ph Suite, Santa Monica, California. You can reach out to his office (for appointments etc.) via phone at (310) 496-4277.

Dr Gabriel Crenshaw Jr is licensed to practice in California (license number 32451) 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 1679143945.

Contact Information

	Dr Gabriel Crenshaw Jr, PSYD
	401 Wilshire Blvd Ph Suite, Santa Monica, CA 90401-1416
	(310) 496-4277
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Gabriel Crenshaw Jr
Gender	Male
Speciality	Psychologist - Clinical
Location	401 Wilshire Blvd Ph Suite, Santa Monica, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679143945
Provider Enumeration Date: 06/29/2021
Last Update Date: 06/29/2021

Medicare PECOS Information:

PECOS PAC ID: 7911398334
Enrollment ID: I20211220000905

Medical Identifiers

Medical identifiers for Dr Gabriel Crenshaw Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679143945	NPI	-	NPPES
0	Other		I DON'T HAVE SUCH NUMBERS.

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	32451 (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 Gabriel Crenshaw Jr allows following entities to bill medicare on his behalf.

Entity Name	Dr Gabriel Crenshaw Clinical Psychologist Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477225472 PECOS PAC ID: 4385035708 Enrollment ID: O20211220000695

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 Gabriel Crenshaw Jr 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
Dr Gabriel Crenshaw Jr, PSYD 401 Wilshire Blvd Ph Suite, Santa Monica, CA 90401-1416 Ph: (310) 251-9428	Dr Gabriel Crenshaw Jr, PSYD 401 Wilshire Blvd Ph Suite, Santa Monica, CA 90401-1416 Ph: (310) 496-4277

Reviews and Comments

Psychologist in Santa Monica, CA

Dr. Katja D Pohl, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2730 Wilshire Blvd, Suite 600, Santa Monica, CA 90403 Phone: 310-709-4582
Steven Joseph Shoptaw, M.D. Psychologist Medicare: Medicare Enrolled Practice Location: 1920 Colorado Ave, Santa Monica, CA 90404 Phone: 310-319-4700 Fax: 310-206-0209
Zecharia Emanuel Oren, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1137 2nd St Ste 101, Santa Monica, CA 90403 Phone: 310-808-4510
Dr. Myrna Ann Silton-goldstein, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 530 Wilshire Blvd Ste 306, Santa Monica, CA 90401 Phone: 310-395-4961 Fax: 310-260-1181
Dr. Natalie Feinblatt, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2222 Santa Monica Blvd, Suite 105, Santa Monica, CA 90404 Phone: 323-284-7888
Dr. Daun Elaine Baker, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 506 Santa Monica Blvd, Suite 314, Santa Monica, CA 90401 Phone: 310-395-3895 Fax: 310-459-4153
Dr. Erin Margolis, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1247 7th St Ste 200, Santa Monica, CA 90401 Phone: 310-926-8282

Dr Gabriel Crenshaw Jr, PSYD - Medicare Psychologist in Santa Monica, CA