Elizabeth Preston Cisneros, PHD is a medicare enrolled "Clinical Neuropsychologist" provider in Pomona, California. She graduated from medical school in 2010 and has 14 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Colina Medical Associates, Inc. and her current practice location is
255 E Bonita Ave Dept Of, Pomona, California. You can reach out to her office (for appointments etc.) via phone at
(909) 596-7733.
Elizabeth Preston Cisneros is licensed to practice in California (license number PSY 24603) 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 1619102100.
Healthcare Provider's Profile
| Full Name | Elizabeth Preston Cisneros |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 14 Years |
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| Location | 255 E Bonita Ave Dept Of, Pomona, 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:
- Elizabeth Preston Cisneros graduated from medical school in 2010
NPI Data:
- NPI Number: 1619102100
- Provider Enumeration Date: 05/27/2009
- Last Update Date: 09/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 9335386465
- Enrollment ID: I20130509000447
Medical Identifiers
Medical identifiers for Elizabeth Preston Cisneros such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1619102100 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC0700X | Psychologist - Clinical | PSY 24603 (California) | Secondary |
| 103G00000X | Clinical Neuropsychologist | PSY 24603 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Colina Medical Associates, Inc. | 1759511165 | 2 |
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. Elizabeth Preston Cisneros allows following entities to bill medicare on her behalf.
| Entity Name | Colina Medical Associates, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1710321856
PECOS PAC ID: 1759511165
Enrollment ID: O20140305000208 |
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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. Elizabeth Preston Cisneros 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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Elizabeth Preston Cisneros, PHD
14788 Oak Leaf Dr,
Eastvale, CA 92880-1048
Ph: (909) 573-6415 | Elizabeth Preston Cisneros, PHD
255 E Bonita Ave Dept Of,
Pomona, CA 91767-1933
Ph: (909) 596-7733 |
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