Keri Ann Prins Abdullah, PHD is a medicare enrolled "Psychologist - Clinical" provider in San Diego, California. Her current practice location is
10717 Camino Ruiz Ste 207, San Diego, California. You can reach out to her office (for appointments etc.) via phone at
(858) 695-2211.
Keri Ann Prins Abdullah is licensed to practice in California (license number 29990) 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 1699840587.
Healthcare Provider's Profile
| Full Name | Keri Ann Prins Abdullah |
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| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 10717 Camino Ruiz Ste 207, San Diego, 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: 1699840587
- Provider Enumeration Date: 11/23/2006
- Last Update Date: 08/24/2023
Medicare PECOS Information:
- PECOS PAC ID: 8426312182
- Enrollment ID: I20180503002147
Medical Identifiers
Medical identifiers for Keri Ann Prins Abdullah such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1699840587 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | 29990 (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. Keri Ann Prins Abdullah allows following entities to bill medicare on her behalf.
| Entity Name | Family Health Centers Of San Diego, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1447281936
PECOS PAC ID: 3476446378
Enrollment ID: O20040204000923 |
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| Entity Name | Community Research Foundation Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1952328700
PECOS PAC ID: 6800825332
Enrollment ID: O20050804001256 |
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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. Keri Ann Prins Abdullah 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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Keri Ann Prins Abdullah, PHD
10717 Camino Ruiz Ste 207,
San Diego, CA 92126-2364
Ph: (858) 695-2211 | Keri Ann Prins Abdullah, PHD
10717 Camino Ruiz Ste 207,
San Diego, CA 92126-2364
Ph: (858) 695-2211 |
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