Loren Carrillo King, PHD - Medicare Psychologist in Patton, CA

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Loren Carrillo King, PHD is a medicare enrolled "Psychologist - Clinical" provider in Patton, California. His current practice location is 3102 E Highland Ave, Patton, California. You can reach out to his office (for appointments etc.) via phone at (909) 425-6417.

Loren Carrillo King is licensed to practice in California (license number 24445) 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 1598025165.

Contact Information

Loren Carrillo King, PHD
3102 E Highland Ave,
Patton, CA 92369-7813
(909) 425-6417
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameLoren Carrillo King
GenderMale
SpecialityPsychologist - Clinical
Location3102 E Highland Ave, Patton, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1598025165
  • Provider Enumeration Date: 05/16/2012
  • Last Update Date: 11/29/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4385948348
  • Enrollment ID: I20160211001136

Medical Identifiers

Medical identifiers for Loren Carrillo King such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1598025165NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 24445 (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. Loren Carrillo King allows following entities to bill medicare on his behalf.
Entity NameSouthern California Permanente Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770515280
PECOS PAC ID: 6002729175
Enrollment ID: O20031110000678
Entity NameFaculty Physicians And Surgeons Of Llusm
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205009917
PECOS PAC ID: 1153227814
Enrollment ID: O20031211000981
Entity NameSouthern California Permanente Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316979834
PECOS PAC ID: 6002729175
Enrollment ID: O20040126000823
Entity NameDepartment Of State Hospitals
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124078704
PECOS PAC ID: 9638174238
Enrollment ID: O20081031000305

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. Loren Carrillo King 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
Loren Carrillo King, PHD
Po Box 90824,
San Bernardino, CA 92427-1824

Ph: () -		Loren Carrillo King, PHD
3102 E Highland Ave,
Patton, CA 92369-7813

Ph: (909) 425-6417

Reviews and Comments


Psychologist in Patton, CA

Dr. Crystal Mueller, PH.D.
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Practice Location: 3102 E. Highland Ave., Patton State Hospital, Patton, CA 92369
Phone: 909-425-7628    
Dr. Devin Randle, PSY.D.
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Practice Location: 3102 E Highland Ave, Patton, CA 92369
Phone: 909-672-6394    
Dr. Victoria May King Palenscar, PSY.D.
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Practice Location: 3102 E Highland Ave, Patton, CA 92369
Phone: 909-425-7791    
Dr. Donna L Robinson, PHD
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Practice Location: 3102 East Highland Ave, Patton, CA 92369
Phone: 909-425-7000    Fax: 909-425-7520
Kelly Jean Hunsicker, PSY.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369
Phone: 909-425-7679    Fax: 909-425-6635
Dr. Troy Steven Freimuth, PSY. D.
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Practice Location: 3102 E Highland Ave, Patton, CA 92369
Phone: 909-425-6043    
Melanie Ann Byde, PH.D.
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Medicare: Not Enrolled in Medicare
Practice Location: 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369
Phone: 909-425-7679    Fax: 909-425-6635

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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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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