Miss Andrea C Seldomridge, PSYD is a medicare enrolled "Psychologist" provider in San Francisco, California. Her current practice location is
1801 Vicente St, San Francisco, California. You can reach out to her office (for appointments etc.) via phone at
(415) 681-3211.
Miss Andrea C Seldomridge is licensed to practice in California (license number 35033) 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 1598195679.
Healthcare Provider's Profile
| Full Name | Miss Andrea C Seldomridge |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist |
|---|
| Location | 1801 Vicente St, San Francisco, California |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1598195679
- Provider Enumeration Date: 11/26/2013
- Last Update Date: 07/11/2024
Medicare PECOS Information:
- PECOS PAC ID: 8527501519
- Enrollment ID: I20240618004239
Medical Identifiers
Medical identifiers for Miss Andrea C Seldomridge such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1598195679 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | 35033 (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. Miss Andrea C Seldomridge allows following entities to bill medicare on her behalf.
| Entity Name | Family Health Centers Of San Diego Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1447281936
PECOS PAC ID: 3476446378
Enrollment ID: O20040204000923 |
|---|
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. Miss Andrea C Seldomridge 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 |
|---|
Miss Andrea C Seldomridge, PSYD
1801 Vicente St,
San Francisco, CA 94116-2923
Ph: () - | Miss Andrea C Seldomridge, PSYD
1801 Vicente St,
San Francisco, CA 94116
Ph: (415) 681-3211 |
Reviews and Comments