Kelsey Ann Hippen, in San Rafael, CA - Medicare Psychologist Provider

Kelsey Ann Hippen, is a medicare enrolled "Psychologist" provider in San Rafael, California. Her current practice location is 3270 Kerner Blvd, San Rafael, California. You can reach out to her office (for appointments etc.) via phone at (415) 473-6874.

Kelsey Ann Hippen is licensed to practice in California (license number 34211) 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 1104191832.

Contact Information

	Kelsey Ann Hippen,
	3270 Kerner Blvd, San Rafael, CA 94901-4840
	(415) 473-6874
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kelsey Ann Hippen
Gender	Female
Speciality	Psychologist
Location	3270 Kerner Blvd, San Rafael, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104191832
Provider Enumeration Date: 03/13/2012
Last Update Date: 08/10/2023

Medicare PECOS Information:

PECOS PAC ID: 0547623621
Enrollment ID: I20230823002362

Medical Identifiers

Medical identifiers for Kelsey Ann Hippen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104191832	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	34211 (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. Kelsey Ann Hippen allows following entities to bill medicare on her behalf.

Entity Name	Healthright 360
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760427843 PECOS PAC ID: 3678674025 Enrollment ID: O20070730000160

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. Kelsey Ann Hippen 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
Kelsey Ann Hippen, 3270 Kerner Blvd, San Rafael, CA 94901-4840 Ph: () -	Kelsey Ann Hippen, 3270 Kerner Blvd, San Rafael, CA 94901-4840 Ph: (415) 473-6874

Reviews and Comments

Psychologist in San Rafael, CA

Miss Geeta Ann Davidson, M.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 20 N San Pedro Rd, San Rafael, CA 94903 Phone: 415-473-7637
Dr. Leslie Frances Chatham, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 820 Las Gallinas Ave, San Rafael, CA 94903 Phone: 415-444-3522 Fax: 415-444-3019
Dr. Carol H Pollard, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 16 Jeanette Prandi Way, Marin Co Juvenile Hall, San Rafael, CA 94903 Phone: 415-499-6894
Dr. Ann Gold Buscho, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 711 D St, Suite 207, San Rafael, CA 94901 Phone: 415-456-0952
Dr. Boukje Elisabeth Eerkens, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1050 Northgate Dr Ste 12, San Rafael, CA 94903 Phone: 415-272-3406 Fax: 415-300-3086
Stephanie Lopez, Psychologist Medicare: Medicare Enrolled Practice Location: 111 Smith Ranch Rd, San Rafael, CA 94903 Phone: 415-491-3127
Dr. Ali Navarro, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 820 Las Gallinas Ave, San Rafael, CA 94903 Phone: 415-444-3522 Fax: 415-444-3019

Kelsey Ann Hippen, - Medicare Psychologist in San Rafael, CA