Dr Diana Louise Trichilo, PHD, ABPDN is a medicare enrolled "Clinical Neuropsychologist" provider in Sebastopol, California. Her current practice location is
450 Pitt Ave, Suite 3, Sebastopol, California. You can reach out to her office (for appointments etc.) via phone at
(707) 824-1130.
Dr Diana Louise Trichilo is licensed to practice in California (license number PSY 16784) 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 1003149279.
Healthcare Provider's Profile
Full Name | Dr Diana Louise Trichilo |
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Gender | Female |
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Speciality | Clinical Neuropsychologist |
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Location | 450 Pitt Ave, Sebastopol, 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: 1003149279
- Provider Enumeration Date: 09/04/2009
- Last Update Date: 03/06/2017
Medicare PECOS Information:
- PECOS PAC ID: 4284609702
- Enrollment ID: I20040828000250
Medical Identifiers
Medical identifiers for Dr Diana Louise Trichilo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003149279 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | PSY 16784 (California) | Secondary |
103G00000X | Clinical Neuropsychologist | PSY 16784 (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 Diana Louise Trichilo 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 Diana Louise Trichilo, PHD, ABPDN Po Box 2795, Sebastopol, CA 95473-2795 Ph: (707) 824-1130 | Dr Diana Louise Trichilo, PHD, ABPDN 450 Pitt Ave, Suite 3, Sebastopol, CA 95472-3747 Ph: (707) 824-1130 |
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