Laura J Proctor, PHD in San Diego, CA - Medicare Psychologist Provider

Laura J Proctor, PHD is a medicare enrolled "Psychologist - Clinical" provider in San Diego, California. Her current practice location is 4370 La Jolla Village Dr Ste 400, Mindful Psychotherapy, Inc., San Diego, California. You can reach out to her office (for appointments etc.) via phone at (858) 353-3345.

Laura J Proctor is licensed to practice in California (license number 29141) 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 1124434972.

Contact Information

	Laura J Proctor, PHD
	4370 La Jolla Village Dr Ste 400, Mindful Psychotherapy, Inc., San Diego, CA 92122-1251
	(858) 353-3345
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Laura J Proctor
Gender	Female
Speciality	Psychologist - Clinical
Location	4370 La Jolla Village Dr Ste 400, San Diego, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124434972
Provider Enumeration Date: 07/01/2014
Last Update Date: 05/01/2017

Medicare PECOS Information:

PECOS PAC ID: 0749557635
Enrollment ID: I20170524002330

Medical Identifiers

Medical identifiers for Laura J Proctor such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124434972	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	29141 (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. Laura J Proctor allows following entities to bill medicare on her behalf.

Entity Name	Mindful Psychotherapy Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073841276 PECOS PAC ID: 1850539644 Enrollment ID: O20130606000606

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. Laura J Proctor 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
Laura J Proctor, PHD 4370 La Jolla Village Dr Ste 400, Mindful Psychotherapy, Inc., San Diego, CA 92122-1251 Ph: () -	Laura J Proctor, PHD 4370 La Jolla Village Dr Ste 400, Mindful Psychotherapy, Inc., San Diego, CA 92122-1251 Ph: (858) 353-3345

Reviews and Comments

Psychologist in San Diego, CA

Dr. Douglas Brackmann, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3101 4th Ave, San Diego, CA 92103 Phone: 858-735-1667 Fax: 619-542-0332
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Dr. Raymond Peng, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 6540 Lusk Blvd Ste C159, San Diego, CA 92121 Phone: 858-888-9683
Meghan Hammel, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 200 West Arbor Drive, San Diego, CA 92103 Phone: 619-543-2827
Dr. Rodger Stacy Questin, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 3702 4th Ave, San Diego, CA 92103 Phone: 760-607-7257
Dr. Jessica Lynette Montoya, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 800-926-8273 Fax: 888-539-8781

Laura J Proctor, PHD - Medicare Psychologist in San Diego, CA