Dr Kristen Virginia Eddy, PSYD, MACL - Medicare Psychologist in Los Angeles, CA

Dr Kristen Virginia Eddy, PSYD, MACL is a medicare enrolled "Psychologist - Clinical" provider in Los Angeles, California. Her current practice location is 11835 W Olympic Blvd Ste 1265e, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (310) 273-4843.

Dr Kristen Virginia Eddy is licensed to practice in California (license number PSY29193) 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 1013466994.

Contact Information

Dr Kristen Virginia Eddy, PSYD, MACL
11835 W Olympic Blvd Ste 1265e,
Los Angeles, CA 90064
(310) 273-4843
(310) 273-5056

Map and Direction




Healthcare Provider's Profile

Full NameDr Kristen Virginia Eddy
GenderFemale
SpecialityPsychologist - Clinical
Location11835 W Olympic Blvd Ste 1265e, Los Angeles, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1013466994
  • Provider Enumeration Date: 10/03/2016
  • Last Update Date: 05/31/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 4486913175
  • Enrollment ID: I20180126000873

Medical Identifiers

Medical identifiers for Dr Kristen Virginia Eddy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013466994NPI-NPPES
CB290129OtherCAMEDICARE ID

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PSY29193 (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 Kristen Virginia Eddy allows following entities to bill medicare on her behalf.
Entity NameExecutive Mental Health, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275670036
PECOS PAC ID: 0345209102
Enrollment ID: O20160512000302

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 Kristen Virginia Eddy 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 Kristen Virginia Eddy, PSYD, MACL
11835 W Olympic Blvd Ste 1265e,
Los Angeles, CA 90064-5814

Ph: (310) 273-4843
Dr Kristen Virginia Eddy, PSYD, MACL
11835 W Olympic Blvd Ste 1265e,
Los Angeles, CA 90064

Ph: (310) 273-4843

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

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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