Dr Sara Harris Elisabeth Bollens, PHD in Costa Mesa, CA

Dr Sara Harris Elisabeth Bollens, PHD is a medicare enrolled "Psychologist" provider in Costa Mesa, California. Her current practice location is 1202 Bristol St, Costa Mesa, California. You can reach out to her office (for appointments etc.) via phone at (949) 267-0400.

Dr Sara Harris Elisabeth Bollens is licensed to practice in California (license number 29438) 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 1356072474.

Contact Information

	Dr Sara Harris Elisabeth Bollens, PHD
	1202 Bristol St, Costa Mesa, CA 92626-8605
	(949) 267-0400
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Sara Harris Elisabeth Bollens
Gender	Female
Speciality	Psychologist
Location	1202 Bristol St, Costa Mesa, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356072474
Provider Enumeration Date: 06/20/2022
Last Update Date: 01/05/2024

Medicare PECOS Information:

PECOS PAC ID: 5294187464
Enrollment ID: I20240124000002

Medical Identifiers

Medical identifiers for Dr Sara Harris Elisabeth Bollens such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356072474	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	29438 (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 Sara Harris Elisabeth Bollens allows following entities to bill medicare on her behalf.

Entity Name	Uc Regents Uci Dept Of Pediatrics
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235187311 PECOS PAC ID: 5395649222 Enrollment ID: O20031121000860

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 Sara Harris Elisabeth Bollens 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 Sara Harris Elisabeth Bollens, PHD Po Box 54559, Los Angeles, CA 90054-0559 Ph: (714) 456-8068	Dr Sara Harris Elisabeth Bollens, PHD 1202 Bristol St, Costa Mesa, CA 92626-8605 Ph: (949) 267-0400

Reviews and Comments

Psychologist in Costa Mesa, CA

Kyle P. Jones, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1102 Valley Cir, Costa Mesa, CA 92627 Phone: 949-244-3184
Bobbie Mcdonald, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 181 E 18th St, Ste B, Costa Mesa, CA 92627 Phone: 949-887-9616
Dr. Erik J Abell, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 151 Kalmus Dr, Suite B220, Costa Mesa, CA 92626 Phone: 949-675-0545 Fax: 714-437-1687
Ms. Elizabeth Lee Waterman, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 652 Beach St, Costa Mesa, CA 92627 Phone: 949-836-5634
Mary Ann Armanious, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 940 S Coast Dr Ste 225, Costa Mesa, CA 92626 Phone: 949-743-1457
Dr. Jay Gattis, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2900 Bristol St, Ste A108, Costa Mesa, CA 92626 Phone: 714-432-0042 Fax: 714-432-0049
Mira Makar, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 940 S Coast Dr, Costa Mesa, CA 92626 Phone: 949-743-1457

Dr Sara Harris Elisabeth Bollens, PHD - Medicare Psychologist in Costa Mesa, CA