Gordana Potrebic, PSYD in Sebastopol, CA - Medicare Psychologist Provider

Gordana Potrebic, PSYD is a medicare enrolled "Psychologist" provider in Sebastopol, California. Her current practice location is 120 Pleasant Hill Ave N, Suite 340, Sebastopol, California. You can reach out to her office (for appointments etc.) via phone at (707) 478-5689.

Gordana Potrebic is licensed to practice in California (license number PSY27343) 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 1699960666.

Contact Information

	Gordana Potrebic, PSYD
	120 Pleasant Hill Ave N, Suite 340, Sebastopol, CA 95472-3164
	(707) 478-5689
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Gordana Potrebic
Gender	Female
Speciality	Psychologist
Location	120 Pleasant Hill Ave N, Sebastopol, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1699960666
Provider Enumeration Date: 09/12/2007
Last Update Date: 04/10/2024

Medicare PECOS Information:

PECOS PAC ID: 5092022509
Enrollment ID: I20150916001335

Medical Identifiers

Medical identifiers for Gordana Potrebic such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699960666	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	PSY27343 (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. Gordana Potrebic allows following entities to bill medicare on her behalf.

Entity Name	Coppertower Family Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033534466 PECOS PAC ID: 3274445465 Enrollment ID: O20031105000381

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. Gordana Potrebic 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
Gordana Potrebic, PSYD 120 Pleasant Hill Ave N, Suite 340, Sebastopol, CA 95472-3164 Ph: (707) 478-5689	Gordana Potrebic, PSYD 120 Pleasant Hill Ave N, Suite 340, Sebastopol, CA 95472-3164 Ph: (707) 478-5689

Reviews and Comments

Psychologist in Sebastopol, CA

Dr. Diana Louise Trichilo, PH.D., ABPDN Psychologist Medicare: Medicare Enrolled Practice Location: 450 Pitt Ave, Suite 3, Sebastopol, CA 95472 Phone: 707-824-1130
Dr. Richard Giovannoli, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 874 Gravenstein Highway South, Suite 12, Sebastopol, CA 95472 Phone: 707-824-8834 Fax: 707-922-0294
Roberta Latefa Mineo, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 3291 Sullivan Rd, Sebastopol, CA 95472 Phone: 707-953-1139
Dr. Kenneth Hunter Crittenden, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 501 Swain Ave, Sebastopol, CA 95472 Phone: 707-823-1122
Anne M Pincus, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1070 Gravenstein Hwy S., Suite 130, Sebastopol, CA 95472 Phone: 415-431-3331
Dr. William Lenard Schwimmer, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 11250 Barnett Valley Rd, Sebastopol, CA 95472 Phone: 707-829-8566
Dr. Richard P Caruso, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7470 Kennedy Rd, Sebastopol, CA 95472 Phone: 707-544-1707

Gordana Potrebic, PSYD - Medicare Psychologist in Sebastopol, CA