Christina A Forzani, PSYD is a medicare enrolled "Psychologist - Clinical" provider in San Diego, California. Her current practice location is
4290 Polk Ave, San Diego, California. You can reach out to her office (for appointments etc.) via phone at
(619) 563-0507.
Christina A Forzani is licensed to practice in California (license number PSY25710) 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 1902939630.
Healthcare Provider's Profile
| Full Name | Christina A Forzani |
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| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 4290 Polk Ave, San Diego, 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: 1902939630
- Provider Enumeration Date: 03/13/2007
- Last Update Date: 12/02/2019
Medicare PECOS Information:
- PECOS PAC ID: 3173764016
- Enrollment ID: I20130718000738
Medical Identifiers
Medical identifiers for Christina A Forzani such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1902939630 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | PSY25710 (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. Christina A Forzani allows following entities to bill medicare on her behalf.
| Entity Name | Los Angeles County Department Of Mental Health |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1083633929
PECOS PAC ID: 7416869896
Enrollment ID: O20031104000319 |
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| Entity Name | Family Health Centers Of San Diego, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1447281936
PECOS PAC ID: 3476446378
Enrollment ID: O20040204000923 |
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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. Christina A Forzani 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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Christina A Forzani, PSYD
545 Laurel St,
San Diego, CA 92101
Ph: (619) 233-4399 | Christina A Forzani, PSYD
4290 Polk Ave,
San Diego, CA 92105-1524
Ph: (619) 563-0507 |
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