Christina Anne Bancroft, PHD is a medicare enrolled "Psychologist - Clinical Child & Adolescent" provider in Augusta, Georgia. Her current practice location is
1120 15th St, Augusta, Georgia. You can reach out to her office (for appointments etc.) via phone at
(706) 721-7874.
Christina Anne Bancroft is licensed to practice in Georgia (license number PSY004515) 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 1538562590.
Healthcare Provider's Profile
Full Name | Christina Anne Bancroft |
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Gender | Female |
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Speciality | Psychologist - Clinical Child & Adolescent |
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Location | 1120 15th St, Augusta, Georgia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1538562590
- Provider Enumeration Date: 10/06/2014
- Last Update Date: 09/16/2021
Medicare PECOS Information:
- PECOS PAC ID: 1153728761
- Enrollment ID: I20210928000314
Medical Identifiers
Medical identifiers for Christina Anne Bancroft such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1538562590 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 11104 (North Carolina) | Secondary |
101YP2500X | Counselor - Professional | A11104 (North Carolina) | Secondary |
103TC2200X | Psychologist - Clinical Child & Adolescent | PSY004515 (Georgia) | 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 Anne Bancroft allows following entities to bill medicare on her behalf.
Entity Name | Au Medical Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1841230620 PECOS PAC ID: 9931013513 Enrollment ID: O20040107000188 |
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Entity Name | Wellstar Medical Group, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
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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 Anne Bancroft 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 |
Christina Anne Bancroft, PHD 1120 15th St # Or-6000, Augusta, GA 30912-0004 Ph: (706) 721-3813 | Christina Anne Bancroft, PHD 1120 15th St, Augusta, GA 30912-3341 Ph: (706) 721-7874 |
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