Crystal Bowlby, PHD in La Mirada, CA - Medicare Psychologist Provider

Crystal Bowlby, PHD is a medicare enrolled "Psychologist - Clinical" provider in La Mirada, California. Her current practice location is 12625 La Mirada Blvd, 202, La Mirada, California. You can reach out to her office (for appointments etc.) via phone at (562) 903-4800.

Crystal Bowlby is licensed to practice in California (license number PSY23856) 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 1619210390.

Contact Information

	Crystal Bowlby, PHD
	12625 La Mirada Blvd, 202, La Mirada, CA 90638-2211
	(562) 903-4800
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Crystal Bowlby
Gender	Female
Speciality	Psychologist - Clinical
Location	12625 La Mirada Blvd, La Mirada, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619210390
Provider Enumeration Date: 04/01/2013
Last Update Date: 08/10/2018

Medicare PECOS Information:

PECOS PAC ID: 3779722285
Enrollment ID: I20180822003218

Medical Identifiers

Medical identifiers for Crystal Bowlby such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619210390	NPI	-	NPPES
PSY23856	Other	CA	PROFESSIONAL LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PSY23856 (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. Crystal Bowlby allows following entities to bill medicare on her behalf.

Entity Name	Laureate Psychiatric Clinic And Hospital Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710985064 PECOS PAC ID: 3971599218 Enrollment ID: O20040422000800

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. Crystal Bowlby 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
Crystal Bowlby, PHD 6655 S Yale Ave, Tulsa, OK 74136-3326 Ph: (562) 903-4800	Crystal Bowlby, PHD 12625 La Mirada Blvd, 202, La Mirada, CA 90638-2211 Ph: (562) 903-4800

Reviews and Comments

Psychologist in La Mirada, CA

Dr. James Michael Woody, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 12625 La Mirada Blvd, Suite 202, La Mirada, CA 90638 Phone: 562-903-4800
Dr. Melanie A. Taylor, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 12625 La Mirada Blvd, Suite 202, La Mirada, CA 90638 Phone: 562-903-4800 Fax: 562-903-4802
Dr. Elisa Shepard, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 12625 La Mirada Blvd Ste 202, La Mirada, CA 90638 Phone: 562-903-4800
Jacqueline Gattis, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 12625 La Mirada Blvd, 202, La Mirada, CA 90638 Phone: 562-903-4800
Dr. Keith John Edwards, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 12625 La Mirada Blvd, Suite 202, La Mirada, CA 90638 Phone: 562-903-4800 Fax: 562-903-4802
Dr. Laura K Pedigo, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 12625 La Mirada Blvd, Suite 202, La Mirada, CA 90639 Phone: 562-903-4800 Fax: 562-903-4802
Dr. Miriam Elizabeth Lewis Hall, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 12625 La Mirada Blvd, Suite 202, La Mirada, CA 90638 Phone: 562-903-4800 Fax: 562-903-4864

Crystal Bowlby, PHD - Medicare Psychologist in La Mirada, CA