Dr Michelle Koren Boswell, PHD, HSPP is a medicare enrolled "Psychologist - Clinical" provider in San Diego, California. Her current practice location is
4715 Viewridge Ave Ste 230, San Diego, California. You can reach out to her office (for appointments etc.) via phone at
(800) 257-8715.
Dr Michelle Koren Boswell is licensed to practice in Indiana (license number 20042452A) 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 1649404948.
Healthcare Provider's Profile
| Full Name | Dr Michelle Koren Boswell |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 4715 Viewridge Ave Ste 230, San Diego, 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 Michelle Koren Boswell attended and graduated from in
NPI Data:
- NPI Number: 1649404948
- Provider Enumeration Date: 05/14/2009
- Last Update Date: 11/10/2015
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Michelle Koren Boswell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1649404948 | NPI | - | NPPES |
| 201003430 | Medicaid | IN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | 20042452A (Indiana) | 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 Michelle Koren Boswell 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 Michelle Koren Boswell, PHD, HSPP
10705 Hendricks Pl,
Crown Point, IN 46307-2926
Ph: (219) 688-4523 | Dr Michelle Koren Boswell, PHD, HSPP
4715 Viewridge Ave Ste 230,
San Diego, CA 92123-1680
Ph: (800) 257-8715 |
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