Rachelle Rene, PHD, BCB, HSM is a medicare enrolled "Psychologist - Clinical" provider in San Diego, California. Her current practice location is
4656 30th St, San Diego, California. You can reach out to her office (for appointments etc.) via phone at
(858) 412-9660.
Rachelle Rene is licensed to practice in California (license number PSY23993) 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 1629108188.
Healthcare Provider's Profile
| Full Name | Rachelle Rene |
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| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 4656 30th St, 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: 1629108188
- Provider Enumeration Date: 03/06/2007
- Last Update Date: 02/16/2011
Medicare PECOS Information:
- PECOS PAC ID: 9638356488
- Enrollment ID: I20110606000218
Medical Identifiers
Medical identifiers for Rachelle Rene such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629108188 | 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 | PSY23993 (California) | Primary |
| 103TP2701X | Psychologist - Group Psychotherapy | PSY23993 (California) | Secondary |
| 103TH0004X | Psychologist - Health | PSY23993 (California) | Secondary |
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. Rachelle Rene allows following entities to bill medicare on her behalf.
| Entity Name | Centro De Salud De La Comunidad De San Ysidro, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1124782685
PECOS PAC ID: 6901709435
Enrollment ID: O20040130000711 |
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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. Rachelle Rene 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 |
|---|
Rachelle Rene, PHD, BCB, HSM
P.o. Box 16259,
San Diego, CA 92176
Ph: (858) 412-9660 | Rachelle Rene, PHD, BCB, HSM
4656 30th St,
San Diego, CA 92116-3247
Ph: (858) 412-9660 |
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