Grace Gengoux, PHD, BCBA-D - Medicare Psychologist in Palo Alto, CA

Grace Gengoux, PHD, BCBA-D is a medicare enrolled "Psychologist - Clinical Child & Adolescent" provider in Palo Alto, California. Her current practice location is 725 Welch Rd, Mc: 5500, Palo Alto, California. You can reach out to her office (for appointments etc.) via phone at (650) 723-5511.

Grace Gengoux is licensed to practice in California (license number PSY23235) 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 1174853584.

Contact Information

Grace Gengoux, PHD, BCBA-D
725 Welch Rd, Mc: 5500,
Palo Alto, CA 94304-1601
(650) 723-5511
Not Available



Healthcare Provider's Profile

Full NameGrace Gengoux
GenderFemale
SpecialityPsychologist - Clinical Child & Adolescent
Location725 Welch Rd, Palo Alto, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1174853584
  • Provider Enumeration Date: 01/07/2010
  • Last Update Date: 04/29/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0244375020
  • Enrollment ID: I20100304000288

Medical Identifiers

Medical identifiers for Grace Gengoux such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174853584NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC2200XPsychologist - Clinical Child & Adolescent PSY23235 (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. Grace Gengoux allows following entities to bill medicare on her behalf.
Entity NameStanford Health Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437292927
PECOS PAC ID: 6709797491
Enrollment ID: O20031124000348

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Entity NameLpch Medical Group Div Of Lucile
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417907940
PECOS PAC ID: 0840298543
Enrollment ID: O20061113000232

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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. Grace Gengoux 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
Grace Gengoux, PHD, BCBA-D
725 Welch Rd,
Palo Alto, CA 94304-1601

Ph: (650) 497-8000
Grace Gengoux, PHD, BCBA-D
725 Welch Rd, Mc: 5500,
Palo Alto, CA 94304-1601

Ph: (650) 723-5511

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Psychologist in Palo Alto, CA

Dr. Zoi Dorit Eliou, PH.D.
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Medicare: Not Enrolled in Medicare
Practice Location: 665 Lytton Ave # 4, Palo Alto, CA 94301
Phone: 650-704-9424    
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Practice Location: 650 Clark Way, Palo Alto, CA 94304
Phone: 650-617-3829    
Diana Naranjo, PHD
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Practice Location: 401 Quarry Rd, Child And Adolescent Psychiatry, Palo Alto, CA 94304
Phone: 650-723-5511    Fax: 650-724-7389
Susan Spinrad, PH.D.
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Medicare: Not Enrolled in Medicare
Practice Location: 560 Oxford Ave, Suite 3b, Palo Alto, CA 94306
Phone: 650-599-5825    
Dr. Lital Koropitzer, PSYD
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Practice Location: 825 El Camino Real, Palo Alto, CA 94301
Phone: 650-223-6400    
Barbara M Sourkes, PHD
Psychologist
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Practice Location: 725 Welch Rd, Palo Alto, CA 94304
Phone: 650-497-8000    
Dr. Ferol F. Larsen, PHD
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Medicare: Not Enrolled in Medicare
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Phone: 650-326-6896    Fax: 650-326-6896

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