Erika Violet Kis, PHD in San Ramon, CA - Medicare Psychologist Provider

Erika Violet Kis, PHD is a medicare enrolled "Psychologist - Clinical" provider in San Ramon, California. Her current practice location is 111 Deerwood Rd Ste 200, San Ramon, California. You can reach out to her office (for appointments etc.) via phone at (925) 270-4499.

Erika Violet Kis is licensed to practice in California (license number PSY 22828) 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 1265750137.

Contact Information

	Erika Violet Kis, PHD
	111 Deerwood Rd Ste 200, San Ramon, CA 94583-4445
	(925) 270-4499
	(925) 270-4499

Map and Direction

Healthcare Provider's Profile

Full Name	Erika Violet Kis
Gender	Female
Speciality	Psychologist - Clinical
Location	111 Deerwood Rd Ste 200, San Ramon, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265750137
Provider Enumeration Date: 05/17/2010
Last Update Date: 04/09/2025

Medicare PECOS Information:

PECOS PAC ID: 4284765942
Enrollment ID: I20100624000978

Medical Identifiers

Medical identifiers for Erika Violet Kis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265750137	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PSY 22828 (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. Erika Violet Kis allows following entities to bill medicare on her behalf.

Entity Name	Attentive Cognitive And Mental Health Services Psychology Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902427438 PECOS PAC ID: 9537580428 Enrollment ID: O20200601002793

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. Erika Violet Kis 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
Erika Violet Kis, PHD 111 Deerwood Rd Ste 200, San Ramon, CA 94583-4445 Ph: (925) 270-4499	Erika Violet Kis, PHD 111 Deerwood Rd Ste 200, San Ramon, CA 94583-4445 Ph: (925) 270-4499

Reviews and Comments

Psychologist in San Ramon, CA

Dr. Karin Celosse, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 111 Deerwood Rd Ste 200, San Ramon, CA 94583 Phone: 925-270-4499
Amanda Morrison, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3180 Crow Canyon Pl Ste 255, San Ramon, CA 94583 Phone: 650-561-6682
Dr. Elizabeth Blair Bias, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2819 Crow Canyon Rd, Suite 219 A, San Ramon, CA 94583 Phone: 925-275-2797
Dr. Ellin Sadur, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2817 Crow Canyon Rd. #204b, San Ramon, CA 94583 Phone: 925-831-0341 Fax: 925-855-9075
Kara Lemke, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3160 Crow Canyon Pl, Suite 215, San Ramon, CA 94583 Phone: 925-201-5460
Dr. Megan Johnson, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3180 Crow Canyon Pl Ste 255, San Ramon, CA 94583 Phone: 925-323-5724

Erika Violet Kis, PHD - Medicare Psychologist in San Ramon, CA