Carissa D Bravo, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Medford, Oregon. Her current practice location is
70 Bower Dr, Medford, Oregon. You can reach out to her office (for appointments etc.) via phone at
(541) 734-3430.
Carissa D Bravo is licensed to practice in Oregon (license number 3008) 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 1538562749.
Healthcare Provider's Profile
| Full Name | Carissa D Bravo |
|---|
| Gender | Female |
|---|
| Speciality | |
|---|
| Experience | Years |
|---|
| Location | 70 Bower Dr, Medford, Oregon |
|---|
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Carissa D Bravo attended and graduated from in
NPI Data:
- NPI Number: 1538562749
- Provider Enumeration Date: 10/01/2014
- Last Update Date: 04/09/2020
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Carissa D Bravo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1538562749 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | 3008 (Oregon) | 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. Carissa D Bravo 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 |
Carissa D Bravo, PSYD Po Box 3158, Portland, OR 97208-3158 Ph: (541) 734-3430 | Carissa D Bravo, PSYD 70 Bower Dr, Medford, OR 97501-3689 Ph: (541) 734-3430 |
Reviews and Comments