Sandra Cortez Valenzuela, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Wildomar, California. Her current practice location is
32395 Clinton Keith Rd Ste A200, Wildomar, California. You can reach out to her office (for appointments etc.) via phone at
(833) 345-8444.
Sandra Cortez Valenzuela is licensed to practice in California (license number 31698) 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 1679024954.
Healthcare Provider's Profile
| Full Name | Sandra Cortez Valenzuela |
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| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 32395 Clinton Keith Rd Ste A200, Wildomar, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1679024954
- Provider Enumeration Date: 10/20/2016
- Last Update Date: 10/03/2024
Medicare PECOS Information:
- PECOS PAC ID: 4789014119
- Enrollment ID: I20200424002583
Medical Identifiers
Medical identifiers for Sandra Cortez Valenzuela such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1679024954 | NPI | - | NPPES |
| 1912184219 | Other | CA | UNKOWN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103T00000X | Psychologist | PSB94023028 (California) | Secondary |
| 103TC0700X | Psychologist - Clinical | 31698 (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. Sandra Cortez Valenzuela allows following entities to bill medicare on her behalf.
| Entity Name | The Mind Institute Psychotherapy Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1598492423
PECOS PAC ID: 6204375207
Enrollment ID: O20240822000107 |
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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. Sandra Cortez Valenzuela 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 |
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Sandra Cortez Valenzuela, PSYD
32395 Clinton Keith Rd Ste A200,
Wildomar, CA 92595-7568
Ph: (833) 345-8444 | Sandra Cortez Valenzuela, PSYD
32395 Clinton Keith Rd Ste A200,
Wildomar, CA 92595-7568
Ph: (833) 345-8444 |
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