Dr Sari Hermine Dworkin, PHD is a medicare enrolled "Psychologist - Clinical" provider in San Luis Obispo, California. Her current practice location is
1985 Johnson Ave, San Luis Obispo, California. You can reach out to her office (for appointments etc.) via phone at
(559) 930-1747.
Dr Sari Hermine Dworkin is licensed to practice in California (license number 13852) 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 1114084803.
Healthcare Provider's Profile
Full Name | Dr Sari Hermine Dworkin |
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Gender | Female |
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Speciality | Psychologist - Clinical |
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Location | 1985 Johnson Ave, San Luis Obispo, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1114084803
- Provider Enumeration Date: 01/02/2007
- Last Update Date: 10/29/2013
Medicare PECOS Information:
- PECOS PAC ID: 9931000437
- Enrollment ID: I20040116001084
Medical Identifiers
Medical identifiers for Dr Sari Hermine Dworkin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114084803 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | MFC23370 (California) | Secondary |
103TC0700X | Psychologist - Clinical | 13852 (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 Sari Hermine Dworkin 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 |
Dr Sari Hermine Dworkin, PHD 791 Price St # 166, Pismo Beach, CA 93449-2529 Ph: (559) 930-1747 | Dr Sari Hermine Dworkin, PHD 1985 Johnson Ave, San Luis Obispo, CA 93401-4131 Ph: (559) 930-1747 |
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