Dr Nicole Dizon Witkin, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Del-mar, California. She graduated from healthcare school in 2015 and has 11 years of diverse experience with area of expertise as Clinical Psychologist. Her current practice location is
317 14th St Suite E, Del-mar, California. You can reach out to her office (for appointments etc.) via phone at
(858) 876-7728.
Dr Nicole Dizon Witkin is licensed to practice in California (license number 32204) 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 1609136571.
Healthcare Provider's Profile
| Full Name | Dr Nicole Dizon Witkin |
|---|
| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 11 Years |
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| Location | 317 14th St Suite E, Del-mar, 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:
- Dr Nicole Dizon Witkin graduated from medical school in 2015
NPI Data:
- NPI Number: 1609136571
- Provider Enumeration Date: 05/24/2012
- Last Update Date: 12/08/2020
Medicare PECOS Information:
- PECOS PAC ID: 0941612766
- Enrollment ID: I20201218000653
Medical Identifiers
Medical identifiers for Dr Nicole Dizon Witkin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1609136571 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | 32204 (California) | 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. Dr Nicole Dizon Witkin 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 |
|---|
Dr Nicole Dizon Witkin, PSYD
317 14th St Ste E,
Del Mar, CA 92014-2554
Ph: (858) 876-7728 | Dr Nicole Dizon Witkin, PSYD
317 14th St Suite E,
Del-mar, CA 92014
Ph: (858) 876-7728 |
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