Dr Melissa Dawn Wilson-sanborn, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Sacramento, California. Her current practice location is
2008 Morse Ave, Sacramento, California. You can reach out to her office (for appointments etc.) via phone at
(916) 973-6350.
Dr Melissa Dawn Wilson-sanborn is licensed to practice in California (license number PSY29758) 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 1467731356.
Healthcare Provider's Profile
| Full Name | Dr Melissa Dawn Wilson-sanborn |
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| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 2008 Morse Ave, Sacramento, 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: 1467731356
- Provider Enumeration Date: 08/09/2011
- Last Update Date: 08/09/2023
Medicare PECOS Information:
- PECOS PAC ID: 3779831136
- Enrollment ID: I20180801003841
Medical Identifiers
Medical identifiers for Dr Melissa Dawn Wilson-sanborn such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1467731356 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | PSY29758 (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. Dr Melissa Dawn Wilson-sanborn allows following entities to bill medicare on her behalf.
| Entity Name | Permanente Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710 |
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| Entity Name | Memory Check Psychological Services, A Professional Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1912184219
PECOS PAC ID: 7416856422
Enrollment ID: O20040107001021 |
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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. Dr Melissa Dawn Wilson-sanborn 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 Melissa Dawn Wilson-sanborn, PSYD
11801 Go For Broke Rd,
Roseville, CA 95678-7055
Ph: (505) 514-7429 | Dr Melissa Dawn Wilson-sanborn, PSYD
2008 Morse Ave,
Sacramento, CA 95825
Ph: (916) 973-6350 |
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