Dr Kelly Sue Lynch, PHD - Medicare Psychologist in San Jose, CA

Dr Kelly Sue Lynch, PHD is a medicare enrolled "Psychologist" provider in San Jose, California. Her current practice location is 2001 The Alameda, Momentum For Mental Health Service Team Adult Outpatie, San Jose, California. You can reach out to her office (for appointments etc.) via phone at (408) 261-7777.

Dr Kelly Sue Lynch is licensed to practice in California (license number PSY 23774) 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 1023154721.

Contact Information

Dr Kelly Sue Lynch, PHD
2001 The Alameda, Momentum For Mental Health Service Team Adult Outpatie,
San Jose, CA 95126-1136
(408) 261-7777
(408) 259-2273

Map and Direction




Healthcare Provider's Profile

Full NameDr Kelly Sue Lynch
GenderFemale
SpecialityPsychologist
Location2001 The Alameda, San Jose, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1023154721
  • Provider Enumeration Date: 01/29/2007
  • Last Update Date: 09/02/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 0749404143
  • Enrollment ID: I20140604001729

Medical Identifiers

Medical identifiers for Dr Kelly Sue Lynch such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023154721NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist PSY 23774 (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 Kelly Sue Lynch allows following entities to bill medicare on her behalf.
Entity NameMomentum For Mental Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154426807
PECOS PAC ID: 2769377217
Enrollment ID: O20040618001294

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 Kelly Sue Lynch 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 AddressPractice Location Address
Dr Kelly Sue Lynch, PHD
2001 The Alameda, Momentum For Mental Health,
San Jose, CA 95126-1136

Ph: (408) 261-7777
Dr Kelly Sue Lynch, PHD
2001 The Alameda, Momentum For Mental Health Service Team Adult Outpatie,
San Jose, CA 95126-1136

Ph: (408) 261-7777

Reviews and Comments


Psychologist in San Jose, CA

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Practice Location: 3500 Zanker Road, San Jose, CA 95134
Phone: 408-451-6198    

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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