Dr Samantha R Fordwood, PHD in San Francisco, CA - Medicare Psychologist Provider

Dr Samantha R Fordwood, PHD is a medicare enrolled "Psychologist - Clinical" provider in San Francisco, California. Her current practice location is 870 Market St, Suite 845, San Francisco, California. You can reach out to her office (for appointments etc.) via phone at (415) 963-3554.

Dr Samantha R Fordwood is licensed to practice in California (license number PSY 22714) 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 1184850273.

Contact Information

	Dr Samantha R Fordwood, PHD
	870 Market St, Suite 845, San Francisco, CA 94102-3099
	(415) 963-3554
	(415) 788-8000

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Samantha R Fordwood
Gender	Female
Speciality	Psychologist - Clinical
Location	870 Market St, San Francisco, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184850273
Provider Enumeration Date: 06/03/2009
Last Update Date: 09/06/2013

Medicare PECOS Information:

PECOS PAC ID: 4385781442
Enrollment ID: I20091021000628

Medical Identifiers

Medical identifiers for Dr Samantha R Fordwood such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184850273	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PSY 22714 (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 Samantha R Fordwood allows following entities to bill medicare on her behalf.

Entity Name	University Of California San Francisco
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861578973 PECOS PAC ID: 4486567229 Enrollment ID: O20031212000897

Entity Name	Ucsf Medical Group Business Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477624104 PECOS PAC ID: 3779497870 Enrollment ID: O20040622001513

Entity Name	Ucsf Psychiatry
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427105279 PECOS PAC ID: 4981680832 Enrollment ID: O20040629001513

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 Samantha R Fordwood 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 Samantha R Fordwood, PHD 870 Market St, Suite 845, San Francisco, CA 94102-3099 Ph: (415) 963-3554	Dr Samantha R Fordwood, PHD 870 Market St, Suite 845, San Francisco, CA 94102-3099 Ph: (415) 963-3554

Reviews and Comments

Psychologist in San Francisco, CA

B L. Elliott, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 747 Front St, San Francisco, CA 94111 Phone: 707-508-6341
Dr. David Tim Lewis, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 703 Market St Ste 1208, San Francisco, CA 94103 Phone: 415-350-9611
Candy Ho Katoa, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 401 Parnassus Ave, Lp 488, San Francisco, CA 94143 Phone: 415-476-7133
Stephanie Lauren Post, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1630 Lombard St, San Francisco, CA 94123 Phone: 703-901-6833
Anett Atman, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3600 California St, San Francisco, CA 94118 Phone: 415-820-9612
Dr. Andrea Samuels, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1947 Divisadero St Ste 1d, San Francisco, CA 94115 Phone: 510-847-4858
Timothy Kim, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1610 Scott St, San Francisco, CA 94115 Phone: 510-365-5066

Dr Samantha R Fordwood, PHD - Medicare Psychologist in San Francisco, CA