Dina P O'brien, PHD in Augusta, GA - Medicare Psychologist Provider

Dina P O'brien, PHD is a medicare enrolled "Psychologist - Clinical Child & Adolescent" provider in Augusta, Georgia. Her current practice location is 1120 15th St, Augusta, Georgia. You can reach out to her office (for appointments etc.) via phone at (706) 721-2191.

Dina P O'brien is licensed to practice in Washington (license number PY61072498) 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 1770682858.

Contact Information

	Dina P O'brien, PHD
	1120 15th St, Augusta, GA 30912-0004
	(706) 721-2191
	(706) 721-4920

Map and Direction

Healthcare Provider's Profile

Full Name	Dina P O'brien
Gender	Female
Speciality	Psychologist - Clinical Child & Adolescent
Location	1120 15th St, Augusta, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770682858
Provider Enumeration Date: 09/22/2006
Last Update Date: 04/28/2021

Medicare PECOS Information:

PECOS PAC ID: 4789093782
Enrollment ID: I20210504000495

Medical Identifiers

Medical identifiers for Dina P O'brien such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770682858	NPI	-	NPPES
680820190A	Medicaid	GA
PS0364	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC2200X	Psychologist - Clinical Child & Adolescent	PY61072498 (Washington)	Primary
103TC2200X	Psychologist - Clinical Child & Adolescent	PSY002668 (Georgia)	Secondary

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. Dina P O'brien allows following entities to bill medicare on her behalf.

Entity Name	Multicare Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760

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. Dina P O'brien 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
Dina P O'brien, PHD 1499 Walton Way, Ste 1400, Augusta, GA 30901-2650 Ph: (706) 828-6410	Dina P O'brien, PHD 1120 15th St, Augusta, GA 30912-0004 Ph: (706) 721-2191

Reviews and Comments

Psychologist in Augusta, GA

Dr. Sonya Yvette Medina, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1 Freedom Way, Augusta, GA 30904 Phone: 706-733-0188
Jason Henle, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 997 Saint Sebastian Way, Augusta, GA 30912 Phone: 706-721-6597 Fax: 706-721-6602
Derrick Degraff, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4106 Columbia Rd, Augusta, GA 30907 Phone: 706-426-0583
Dr. Cameron Mosley, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-288-8401 Fax: 706-828-8401
Sue V Moore, MS, LPC Psychologist Medicare: Not Enrolled in Medicare Practice Location: 448 Telfair St, Augusta, GA 30901 Phone: 706-722-7788 Fax: 706-724-8300
Dr. Lori T. Welch-sigmon, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-8623
Patrick A. Boudewyns, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-3141 Fax: 706-721-6602

Dina P O'brien, PHD - Medicare Psychologist in Augusta, GA