Kirsty E Bortnik, PHD is a medicare enrolled "Clinical Neuropsychologist" provider in Santa Monica, California. Her current practice location is
1301 20th St Ste 150, Santa Monica, California. You can reach out to her office (for appointments etc.) via phone at
(310) 458-2764.
Kirsty E Bortnik is licensed to practice in California (license number 32126) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1376748780.
Healthcare Provider's Profile
| Full Name | Kirsty E Bortnik |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 1301 20th St Ste 150, Santa Monica, California |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kirsty E Bortnik attended and graduated from in
NPI Data:
- NPI Number: 1376748780
- Provider Enumeration Date: 06/15/2007
- Last Update Date: 01/09/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Kirsty E Bortnik such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1376748780 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC0700X | Psychologist - Clinical | 32126 (California) | Secondary |
| 103TC0700X | Psychologist - Clinical | 019916 (New York) | Secondary |
| 103G00000X | Clinical Neuropsychologist | 32126 (California) | Primary |
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. Kirsty E Bortnik 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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Kirsty E Bortnik, PHD
Po Box 1493,
Sierra Madre, CA 91025-4493
Ph: (212) 305-3247 | Kirsty E Bortnik, PHD
1301 20th St Ste 150,
Santa Monica, CA 90404-2050
Ph: (310) 458-2764 |
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