Dolora Dossi, PSYD is a medicare enrolled "Psychologist" provider in Columbia, California. Her current practice location is
11920 Yankee Hill Rd, Columbia, California. You can reach out to her office (for appointments etc.) via phone at
(209) 964-9564.
Dolora Dossi is licensed to practice in California (license number PSY29332) 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 1508267824.
Healthcare Provider's Profile
Full Name | Dolora Dossi |
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Gender | Female |
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Speciality | Psychologist |
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Location | 11920 Yankee Hill Rd, Columbia, 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: 1508267824
- Provider Enumeration Date: 09/05/2014
- Last Update Date: 09/27/2017
Medicare PECOS Information:
- PECOS PAC ID: 4688933716
- Enrollment ID: I20180118001983
Medical Identifiers
Medical identifiers for Dolora Dossi such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508267824 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | PSY29332 (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. Dolora Dossi allows following entities to bill medicare on her behalf.
Entity Name | Mathiesen Memorial Health Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1255595484 PECOS PAC ID: 1759429814 Enrollment ID: O20091110000350 |
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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. Dolora Dossi 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 |
Dolora Dossi, PSYD 11920 Yankee Hill Rd, Columbia, CA 95310-9703 Ph: (209) 964-9564 | Dolora Dossi, PSYD 11920 Yankee Hill Rd, Columbia, CA 95310-9703 Ph: (209) 964-9564 |
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