Simon Villalobos, LEP4493 in Clovis, CA - Medicare Psychologist Provider

Simon Villalobos, LEP4493 is a medicare enrolled "Psychologist - School" provider in Clovis, California. His current practice location is 3515 Prescott Ave, Clovis, California. You can reach out to his office (for appointments etc.) via phone at (559) 273-9303.

Simon Villalobos is licensed to practice in California (license number LEP4493) 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 1558198473.

Contact Information

	Simon Villalobos, LEP4493
	3515 Prescott Ave, Clovis, CA 93619-2016
	(559) 273-9303
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Simon Villalobos
Gender	Male
Speciality	Psychologist - School
Location	3515 Prescott Ave, Clovis, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558198473
Provider Enumeration Date: 09/16/2024
Last Update Date: 09/16/2024

Medicare PECOS Information:

PECOS PAC ID: 3173059045
Enrollment ID: I20241216002615

Medical Identifiers

Medical identifiers for Simon Villalobos such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558198473	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TS0200X	Psychologist - School	LEP4493 (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. Simon Villalobos allows following entities to bill medicare on his behalf.

Entity Name	Krysta Meany
Entity Type	Practitioner - Clinical Psychologist
Entity Identifiers	NPI Number: 1629483540 PECOS PAC ID: 7113234675 Enrollment ID: I20150915003496

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. Simon Villalobos 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
Simon Villalobos, LEP4493 3515 Prescott Ave, Clovis, CA 93619-2016 Ph: (559) 273-9303	Simon Villalobos, LEP4493 3515 Prescott Ave, Clovis, CA 93619-2016 Ph: (559) 273-9303

Reviews and Comments

Psychologist in Clovis, CA

Dr. Paula Jean Willis, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1920 N Burl Ave, Clovis, CA 93619 Phone: 559-274-2475 Fax: 559-325-1919
Heather Pedersen, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 264 Clovis Ave # 104, Clovis, CA 93612 Phone: 559-777-9061
Dr. Samuel A Montano, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 255 W Bullard Ave Ste 101, Clovis, CA 93612 Phone: 559-443-8687
Alexa Hilary Wasserman-toncheff, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3128 Willow, Suite 102, Clovis, CA 93612 Phone: 559-307-5814
Dr. Alexia Baca Morgan, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 106 Pollasky, A, Clovis, CA 93612 Phone: 559-298-9310 Fax: 559-298-9310
Dr. Randall Robinson, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3128 Willow Ave, Suite 102, Clovis, CA 93612 Phone: 559-292-3100 Fax: 559-291-5229
Dr. Neal J Kennington, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1675 Fairmont Ave, Clovis, CA 93611 Phone: 559-709-6915

Simon Villalobos, LEP4493 - Medicare Psychologist in Clovis, CA