Teddy Adelstein, PHD in San Rafael, CA - Medicare Psychologist Provider

Teddy Adelstein, PHD is a medicare enrolled "Psychologist - Clinical" provider in San Rafael, California. His current practice location is 45 Windstone Dr, San Rafael, California. You can reach out to his office (for appointments etc.) via phone at (415) 381-2209.

Teddy Adelstein is licensed to practice in California (license number PSY 12543) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1144276874.

Contact Information

	Teddy Adelstein, PHD
	45 Windstone Dr, San Rafael, CA 94903-1438
	(415) 381-2209
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Teddy Adelstein
Gender	Male
Speciality	Psychologist - Clinical
Location	45 Windstone Dr, 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: 1144276874
Provider Enumeration Date: 05/25/2006
Last Update Date: 12/16/2021

Medicare PECOS Information:

PECOS PAC ID: 7416115639
Enrollment ID: I20120220000716

Medical Identifiers

Medical identifiers for Teddy Adelstein such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144276874	NPI	-	NPPES
10769	Other	CA	SF CITY/COUNTY PROVIDER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PSY 12543 (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. Teddy Adelstein allows following entities to bill medicare on his behalf.

Entity Name	T Adelstein Phd Psychologist Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669864302 PECOS PAC ID: 0244550721 Enrollment ID: O20150523000076

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. Teddy Adelstein 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
Teddy Adelstein, PHD 823 Peregrine Ave, Davis, CA 95616-0170 Ph: (415) 381-2209	Teddy Adelstein, PHD 45 Windstone Dr, San Rafael, CA 94903-1438 Ph: (415) 381-2209

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

Teddy Adelstein, PHD - Medicare Psychologist in San Rafael, CA