Dr Tiffany Bornn, PHD in Westlake Village, CA - Medicare Psychologist Provider

Dr Tiffany Bornn, PHD is a medicare enrolled "Psychologist - Clinical" provider in Westlake Village, California. Her current practice location is 1014 S Westlake Blvd # 14-243, Westlake Village, California. You can reach out to her office (for appointments etc.) via phone at (805) 242-2429.

Dr Tiffany Bornn is licensed to practice in California (license number 94024634) 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 1760064463.

Contact Information

	Dr Tiffany Bornn, PHD
	1014 S Westlake Blvd # 14-243, Westlake Village, CA 91361-3108
	(805) 242-2429
	(310) 870-7197

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Tiffany Bornn
Gender	Female
Speciality	Psychologist - Clinical
Location	1014 S Westlake Blvd # 14-243, Westlake Village, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760064463
Provider Enumeration Date: 04/22/2021
Last Update Date: 10/06/2023

Medicare PECOS Information:

PECOS PAC ID: 3476918913
Enrollment ID: I20230504003278

Medical Identifiers

Medical identifiers for Dr Tiffany Bornn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760064463	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	94024634 (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 Tiffany Bornn allows following entities to bill medicare on her behalf.

Entity Name	Pacific Coast Psychology Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932647468 PECOS PAC ID: 9335410729 Enrollment ID: O20170803000623

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 Tiffany Bornn 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 Tiffany Bornn, PHD 1014 S Westlake Blvd # 14-243, Westlake Village, CA 91361-3108 Ph: (805) 242-2429	Dr Tiffany Bornn, PHD 1014 S Westlake Blvd # 14-243, Westlake Village, CA 91361-3108 Ph: (805) 242-2429

Reviews and Comments

Psychologist in Westlake Village, CA

Dr. Genine Ivy Hanin, ED.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 3625 E Thousand Oaks Blvd, 120, Westlake Village, CA 91362 Phone: 805-497-6137
Dr. Lisa Jo Cohen, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 870 Hampshire Rd # B-1, Westlake Village, CA 91361 Phone: 805-370-1455
Andrea R.o. Clark, PH.D Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1014 S Westlake Blvd # 14-243, Westlake Village, CA 91361 Phone: 805-242-2429 Fax: 310-870-7197
Dr. Jennifer Callahan, PSY.D Psychologist Medicare: Medicare Enrolled Practice Location: 3835 E Thousand Oaks Blvd # 364, Westlake Village, CA 91362 Phone: 818-583-6221
Lucia Estelle Cardenas, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2239 Townsgate Rd Ste 107, Westlake Village, CA 91361 Phone: 805-558-0605
Dr. Martin Scott Fishman, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 32107 Lindero Canyon Rd, #134, Westlake Village, CA 91361 Phone: 818-706-1903 Fax: 818-991-5922
Mrs. Suzanne Mary Corwin, LEP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 31666 Foxfield Dr, Westlake Village, CA 91361 Phone: 818-889-8661

Dr Tiffany Bornn, PHD - Medicare Psychologist in Westlake Village, CA