Dr Tatiana Anastasia Chircop-rollick, PHD is a medicare enrolled "Military Hospital" provider in San Diego, California. Her current practice location is
Va San Diego Healthcare System, 3350 La Jolla Village Drive (116a), San Diego, California. You can reach out to her office (for appointments etc.) via phone at
(858) 552-8585.
Dr Tatiana Anastasia Chircop-rollick is licensed to practice in California (license number PSY23619) 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 1336458124.
Healthcare Provider's Profile
| Full Name | Dr Tatiana Anastasia Chircop-rollick |
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| Gender | Female |
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| Speciality | Military Hospital |
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| Location | Va San Diego Healthcare System, San Diego, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1336458124
- Provider Enumeration Date: 09/28/2010
- Last Update Date: 01/26/2024
Medicare PECOS Information:
- PECOS PAC ID: 9032549811
- Enrollment ID: I20200417003010
Medical Identifiers
Medical identifiers for Dr Tatiana Anastasia Chircop-rollick such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336458124 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | PSY23619 (California) | Secondary |
| 286500000X | Military Hospital | PSY23619 (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 Tatiana Anastasia Chircop-rollick allows following entities to bill medicare on her behalf.
| Entity Name | Alo Ha Psychological Associates Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770918674
PECOS PAC ID: 3476783978
Enrollment ID: O20140301000213 |
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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 Tatiana Anastasia Chircop-rollick 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 |
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Dr Tatiana Anastasia Chircop-rollick, PHD
Va San Diego Healthcare System, 3350 La Jolla Village Drive (116a),
San Diego, CA 92161-0001
Ph: (858) 552-8585 | Dr Tatiana Anastasia Chircop-rollick, PHD
Va San Diego Healthcare System, 3350 La Jolla Village Drive (116a),
San Diego, CA 92161-0001
Ph: (858) 552-8585 |
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