Diana S Poulson, in Sebastopol, CA - Medicare Marriage & Family Therapist Provider

Diana S Poulson, is a medicare enrolled "Marriage & Family Therapist" provider in Sebastopol, California. Her current practice location is 7765 Healdsburg Ave, Sebastopol, California. You can reach out to her office (for appointments etc.) via phone at (707) 824-4782.

Diana S Poulson is licensed to practice in California (license number MFC34244) 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 1114241205.

Contact Information

	Diana S Poulson,
	7765 Healdsburg Ave, Sebastopol, CA 95472-3309
	(707) 824-4782
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Diana S Poulson
Gender	Female
Speciality	Marriage & Family Therapist
Location	7765 Healdsburg Ave, Sebastopol, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114241205
Provider Enumeration Date: 03/18/2010
Last Update Date: 03/18/2010

Medicare PECOS Information:

PECOS PAC ID: 9830532142
Enrollment ID: I20240523000393

Medical Identifiers

Medical identifiers for Diana S Poulson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114241205	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	MFC34244 (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. Diana S Poulson allows following entities to bill medicare on her behalf.

Entity Name	Psych Strategies Inc A Psychological Corp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699775411 PECOS PAC ID: 0446144497 Enrollment ID: O20040210001132

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. Diana S Poulson 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
Diana S Poulson, 708 Gravenstein Hwy N, #339, Sebastopol, CA 95472-2808 Ph: (707) 824-4782	Diana S Poulson, 7765 Healdsburg Ave, Sebastopol, CA 95472-3309 Ph: (707) 824-4782

Reviews and Comments

Marriage & Family Therapist in Sebastopol, CA

Shoshana Rose Davis, AMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 7765 Healdsburg Ave, Sebastopol, CA 95472 Phone: 707-696-9648
Nicole Helene O'brien, MA, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 6914 Sebastopol Ave, Suite A, Sebastopol, CA 95472 Phone: 707-529-2910
Allie M Andrus Mccann, MFT, ATR-BC Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 435 Petaluma Ave, #140, Sebastopol, CA 95472 Phone: 707-219-8484
Lauren Schneider, AMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 8211 Occidental Rd, Sebastopol, CA 95472 Phone: 707-823-8722
Mr. John Alilovich, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 103 Morris St, Suite G, Sebastopol, CA 95472 Phone: 707-824-8401 Fax: 707-824-8301
Erma Kyriakos, AMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 7590 Atkinson Rd, Sebastopol, CA 95472 Phone: 415-761-3494

Diana S Poulson, - Medicare Couples Therapy in Sebastopol, CA