Dr Carrie Dobbin Bourguignon, PSYD is a medicare enrolled "Psychologist - Clinical" provider in San Rafael, California. She graduated from healthcare school in 2012 and has 12 years of diverse experience with area of expertise as Clinical Psychologist. 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 | Clinical Psychologist |
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| Experience | 12 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 graduated from medical school in 2012
NPI Data:
- NPI Number: 1588800668
- Provider Enumeration Date: 12/19/2008
- Last Update Date: 11/13/2019
Medicare PECOS Information:
- PECOS PAC ID: 9931533486
- Enrollment ID: I20191217000444
Medical Identifiers
Medical identifiers for Dr Carrie Dobbin Bourguignon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 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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