Elizabeth Petrisca, PHD in Commerce, CA - Medicare Psychologist Provider

Elizabeth Petrisca, PHD is a medicare enrolled "Psychologist - Clinical" provider in Commerce, California. Her current practice location is 1000 Goodrich Blvd, Commerce, California. You can reach out to her office (for appointments etc.) via phone at (213) 832-9795.

Elizabeth Petrisca is licensed to practice in California (license number PSY30521) 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 1548542962.

Contact Information

	Elizabeth Petrisca, PHD
	1000 Goodrich Blvd, Commerce, CA 90022
	(213) 832-9795
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Elizabeth Petrisca
Gender	Female
Speciality	Psychologist - Clinical
Location	1000 Goodrich Blvd, Commerce, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548542962
Provider Enumeration Date: 09/12/2011
Last Update Date: 02/23/2024

Medicare PECOS Information:

PECOS PAC ID: 5799018875
Enrollment ID: I20190604002305

Medical Identifiers

Medical identifiers for Elizabeth Petrisca such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548542962	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	(* (Not Available))	Secondary
225400000X	Rehabilitation Practitioner	(* (Not Available))	Secondary
225C00000X	Rehabilitation Counselor	(* (Not Available))	Secondary
103TC0700X	Psychologist - Clinical	PSY30521 (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. Elizabeth Petrisca allows following entities to bill medicare on her behalf.

Entity Name	Crossroads Institute For Psychotherapy And Assessment, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831432806 PECOS PAC ID: 9638391949 Enrollment ID: O20141120001200

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. Elizabeth Petrisca 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
Elizabeth Petrisca, PHD 1000 Goodrich Blvd, Commerce, CA 90022-5103 Ph: (213) 832-9795	Elizabeth Petrisca, PHD 1000 Goodrich Blvd, Commerce, CA 90022 Ph: (213) 832-9795

Reviews and Comments

Psychologist in Commerce, CA

Jeneve Kanaventi, M.A., PSY. D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1000 Goodrich Blvd, Commerce, CA 90022 Phone: 323-832-9795
Ms. Rosa Maria Ornelas, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1000 Goodrich Blvd, Commerce, CA 90022 Phone: 323-832-9795 Fax: 323-832-9796
Christina Falcon, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1500 S Mcdonnell Ave, Commerce, CA 90040 Phone: 323-267-2394
Ms. Aimee Joy Samuels, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2450 S Atlantic Blvd, Suite 101, Commerce, CA 90040 Phone: 323-318-9960
Marina Mendoza, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5723 Whittier Blvd, Commerce, CA 90022 Phone: 323-721-6855
Esmeralda Nunez, Psychologist Medicare: Medicare Enrolled Practice Location: 5426 E Olympic Blvd, Commerce, CA 90022 Phone: 323-725-7372
Dr. Victoria T. Do, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1000 Goodrich Blvd, Commerce, CA 90022 Phone: 323-832-9795

Elizabeth Petrisca, PHD - Medicare Psychologist in Commerce, CA