Dr Gregory Anthony Fonzo, PHD in San Francisco, CA

Dr Gregory Anthony Fonzo, PHD is a medicare enrolled "Psychologist - Clinical" provider in San Francisco, California. His current practice location is 870 Market St, Suite 958, San Francisco, California. You can reach out to his office (for appointments etc.) via phone at (650) 394-6586.

Dr Gregory Anthony Fonzo is licensed to practice in California (license number PSY27812) 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 1174858070.

Contact Information

	Dr Gregory Anthony Fonzo, PHD
	870 Market St, Suite 958, San Francisco, CA 94102-3099
	(650) 394-6586
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Gregory Anthony Fonzo
Gender	Male
Speciality	Psychologist - Clinical
Location	870 Market St, San Francisco, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174858070
Provider Enumeration Date: 10/09/2009
Last Update Date: 01/11/2016

Medicare PECOS Information:

PECOS PAC ID: 5890027106
Enrollment ID: I20191105002198

Medical Identifiers

Medical identifiers for Dr Gregory Anthony Fonzo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174858070	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PSY27812 (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 Gregory Anthony Fonzo allows following entities to bill medicare on his behalf.

Entity Name	The University Of Texas At Austin
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073066239 PECOS PAC ID: 2668559436 Enrollment ID: O20080408000293

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 Gregory Anthony Fonzo 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 Gregory Anthony Fonzo, PHD 870 Market St, Suite 958, San Francisco, CA 94102-3099 Ph: (650) 394-6586	Dr Gregory Anthony Fonzo, PHD 870 Market St, Suite 958, San Francisco, CA 94102-3099 Ph: (650) 394-6586

Reviews and Comments

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Dr Gregory Anthony Fonzo, PHD - Medicare Psychologist in San Francisco, CA