Diana Samardzic, is a medicare enrolled "Psychologist - Clinical" provider in San Francisco, California. Her current practice location is
2441 Jackson St, San Francisco, California. You can reach out to her office (for appointments etc.) via phone at
(415) 346-6380.
Diana Samardzic is licensed to practice in California (license number 24759) 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 1336350651.
Healthcare Provider's Profile
| Full Name | Diana Samardzic |
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| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 2441 Jackson St, San Francisco, 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: 1336350651
- Provider Enumeration Date: 05/25/2007
- Last Update Date: 09/25/2019
Medicare PECOS Information:
- PECOS PAC ID: 6901238963
- Enrollment ID: I20191112002812
Medical Identifiers
Medical identifiers for Diana Samardzic such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336350651 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | 24759 (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 Samardzic allows following entities to bill medicare on her behalf.
| Entity Name | The Davis Street Community Center Incorporated |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1215358924
PECOS PAC ID: 6800956079
Enrollment ID: O20141204000241 |
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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. Diana Samardzic 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 Samardzic,
2441 Jackson St,
San Francisco, CA 94115-1324
Ph: (415) 346-6380 | Diana Samardzic,
2441 Jackson St,
San Francisco, CA 94115-1324
Ph: (415) 346-6380 |
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