Dr Peter Mcdade I, PHD - Medicare Psychologist in La Jolla, CA

Dr Peter Mcdade I, PHD is a medicare enrolled "Psychologist - Clinical" provider in La Jolla, California. His current practice location is 4180 La Jolla Village Dr, Suite 250, La Jolla, California. You can reach out to his office (for appointments etc.) via phone at (619) 515-4520.

Dr Peter Mcdade I is licensed to practice in California (license number PSY11500) 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 1093813909.

Contact Information

Dr Peter Mcdade I, PHD
4180 La Jolla Village Dr, Suite 250,
La Jolla, CA 92037-1402
(619) 515-4520
Not Available



Healthcare Provider's Profile

Full NameDr Peter Mcdade I
GenderMale
SpecialityPsychologist - Clinical
Location4180 La Jolla Village Dr, La Jolla, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1093813909
  • Provider Enumeration Date: 09/21/2006
  • Last Update Date: 11/10/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 1658509328
  • Enrollment ID: I20140102001635

Medical Identifiers

Medical identifiers for Dr Peter Mcdade I such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093813909NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PSY11500 (California)Primary

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. Dr Peter Mcdade I 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
Dr Peter Mcdade I, PHD
4180 La Jolla Village Dr, Suite 250,
La Jolla, CA 92037-1402

Ph: (619) 515-4520
Dr Peter Mcdade I, PHD
4180 La Jolla Village Dr, Suite 250,
La Jolla, CA 92037-1402

Ph: (619) 515-4520

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Psychologist in La Jolla, CA

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Timmie Pollock, PH.D.
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Dr. Frank J Altobello, PHD
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Practice Location: 4180 La Jolla Village Dr, Ste 250, La Jolla, CA 92037
Phone: 850-452-3588    Fax: 850-452-3589
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Practice Location: 3252 Holiday Ct, Ste 227, La Jolla, CA 92037
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