Dr Sandra Bahena-colley, PHD in San Diego, CA - Medicare Psychologist Provider

Dr Sandra Bahena-colley, PHD is a medicare enrolled "Psychologist - Clinical" provider in San Diego, California. Her current practice location is 4060 Fairmount Ave, San Diego, California. You can reach out to her office (for appointments etc.) via phone at (619) 564-8765.

Dr Sandra Bahena-colley is licensed to practice in California (license number PSY29792) 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 1073742268.

Contact Information

	Dr Sandra Bahena-colley, PHD
	4060 Fairmount Ave, San Diego, CA 92105-1608
	(619) 564-8765
	(619) 564-8786

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Sandra Bahena-colley
Gender	Female
Speciality	Psychologist - Clinical
Location	4060 Fairmount Ave, San Diego, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073742268
Provider Enumeration Date: 07/08/2009
Last Update Date: 02/14/2022

Medicare PECOS Information:

PECOS PAC ID: 5294128260
Enrollment ID: I20220215002610

Medical Identifiers

Medical identifiers for Dr Sandra Bahena-colley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073742268	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	(* (Not Available))	Secondary
103T00000X	Psychologist	PSY29792 (California)	Secondary
103TC0700X	Psychologist - Clinical	PSY29792 (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 Sandra Bahena-colley allows following entities to bill medicare on her behalf.

Entity Name	La Maestra Family Clinic, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306929443 PECOS PAC ID: 7113968512 Enrollment ID: O20050516000901

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 Sandra Bahena-colley 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 Sandra Bahena-colley, PHD 4060 Fairmount Ave, San Diego, CA 92105-1608 Ph: (619) 564-8765	Dr Sandra Bahena-colley, PHD 4060 Fairmount Ave, San Diego, CA 92105-1608 Ph: (619) 564-8765

Reviews and Comments

Psychologist in San Diego, CA

Dr. Douglas Brackmann, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3101 4th Ave, San Diego, CA 92103 Phone: 858-735-1667 Fax: 619-542-0332
Barton Palmer, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: Vasdhs Division Of Geriatric Psychiatry 116a, 3350 La Jolla Village Drive, San Diego, CA 92161 Phone: 858-552-8585
Dr. Lina Kogan-sbarbaro, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 1050 University Ave Ste E107, San Diego, CA 92103 Phone: 858-504-7743 Fax: 858-216-1928
Dr. Raymond Peng, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 6540 Lusk Blvd Ste C159, San Diego, CA 92121 Phone: 858-888-9683
Dr. Joel Samaniego, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 9265 Sky Park Court, Suite 100, San Diego, CA 92123 Phone: 844-737-3638 Fax: 619-403-9496
Meghan Hammel, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 200 West Arbor Drive, San Diego, CA 92103 Phone: 619-543-2827
Dr. Rodger Stacy Questin, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 3702 4th Ave, San Diego, CA 92103 Phone: 760-607-7257

Dr Sandra Bahena-colley, PHD - Medicare Psychologist in San Diego, CA