Sarah Raffaelli, is a medicare enrolled "Clinical Neuropsychologist" provider in Burlingame, California. Her current practice location is
1501 Trousdale Dr, Burlingame, California. You can reach out to her office (for appointments etc.) via phone at
(650) 652-8350.
Sarah Raffaelli is licensed to practice in California (license number PSY30578) 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 1508411497.
Healthcare Provider's Profile
| Full Name | Sarah Raffaelli |
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| Gender | Female |
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| Speciality | Clinical Neuropsychologist |
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| Location | 1501 Trousdale Dr, Burlingame, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1508411497
- Provider Enumeration Date: 08/07/2019
- Last Update Date: 09/09/2024
Medicare PECOS Information:
- PECOS PAC ID: 6507198678
- Enrollment ID: I20191023002034
Medical Identifiers
Medical identifiers for Sarah Raffaelli such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1508411497 | NPI | - | NPPES |
| PSY30578 | Other | CA | STATE MEDICAL LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC0700X | Psychologist - Clinical | PSY30578 (California) | Secondary |
| 103G00000X | Clinical Neuropsychologist | PSY30578 (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. Sarah Raffaelli allows following entities to bill medicare on her behalf.
| Entity Name | Carbon Health Medical Group Of California Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1417294232
PECOS PAC ID: 9032340047
Enrollment ID: O20140314001276 |
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| Entity Name | Carbon Health Primary Care Of California Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1972057990
PECOS PAC ID: 8628350626
Enrollment ID: O20170127001216 |
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| Entity Name | Bay Area Cognitive Health A Psychology Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073177713
PECOS PAC ID: 7416281431
Enrollment ID: O20190625003649 |
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| Entity Name | Prairie Medical Associates |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1942973730
PECOS PAC ID: 5395142665
Enrollment ID: O20210929001750 |
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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. Sarah Raffaelli 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 |
|---|
Sarah Raffaelli,
325 Distel Cir,
Los Altos, CA 94022-1408
Ph: (415) 600-5555 | Sarah Raffaelli,
1501 Trousdale Dr,
Burlingame, CA 94010-4506
Ph: (650) 652-8350 |
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