Dr Emily Beth Fine, PHD is a medicare enrolled "Clinical Neuropsychologist" provider in Ontario, California. Her current practice location is
3281 E Guasti Rd Ste 700, Ontario, California. You can reach out to her office (for appointments etc.) via phone at
(909) 480-8235.
Dr Emily Beth Fine is licensed to practice in California (license number PSY 23742) 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 1578849287.
Healthcare Provider's Profile
Full Name | Dr Emily Beth Fine |
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Gender | Female |
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Speciality | Clinical Neuropsychologist |
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Location | 3281 E Guasti Rd Ste 700, Ontario, 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: 1578849287
- Provider Enumeration Date: 10/26/2011
- Last Update Date: 04/17/2020
Medicare PECOS Information:
- PECOS PAC ID: 8224290317
- Enrollment ID: I20120508000016
Medical Identifiers
Medical identifiers for Dr Emily Beth Fine such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1578849287 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | PSY 23742 (California) | Secondary |
103G00000X | Clinical Neuropsychologist | PSY 23742 (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 Emily Beth Fine allows following entities to bill medicare on her behalf.
Entity Name | Colina Medical Associates, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1710321856 PECOS PAC ID: 1759511165 Enrollment ID: O20140305000208 |
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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 Emily Beth Fine 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 Emily Beth Fine, PHD Po Box 1273, Claremont, CA 91711-1273 Ph: (909) 480-8235 | Dr Emily Beth Fine, PHD 3281 E Guasti Rd Ste 700, Ontario, CA 91761-7643 Ph: (909) 480-8235 |
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