Dr Carrie Dobbin Bourguignon, PSYD is a medicare enrolled "Psychologist - Clinical" provider in San Rafael, California. Her current practice location is
908 E St Ste C, San Rafael, California. You can reach out to her office (for appointments etc.) via phone at
(415) 779-8329.
Dr Carrie Dobbin Bourguignon is licensed to practice in California (license number 28829) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1588800668.
Healthcare Provider's Profile
| Full Name | Dr Carrie Dobbin Bourguignon |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 908 E St Ste C, San Rafael, California |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Carrie Dobbin Bourguignon attended and graduated from in
NPI Data:
- NPI Number: 1588800668
- Provider Enumeration Date: 12/19/2008
- Last Update Date: 11/13/2019
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Carrie Dobbin Bourguignon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1588800668 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | 28829 (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 Carrie Dobbin Bourguignon 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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Dr Carrie Dobbin Bourguignon, PSYD
908 E St Ste C,
San Rafael, CA 94901-2851
Ph: (415) 779-8329 | Dr Carrie Dobbin Bourguignon, PSYD
908 E St Ste C,
San Rafael, CA 94901-2851
Ph: (415) 779-8329 |
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