Dr Lisa Bolden, PSYD in Torrance, CA - Medicare Psychologist Provider

Dr Lisa Bolden, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Torrance, California. Her current practice location is 1000 W Carson St, Torrance, California. You can reach out to her office (for appointments etc.) via phone at (424) 306-5809.

Dr Lisa Bolden is licensed to practice in California (license number PSY23098) 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 1104991025.

Contact Information

	Dr Lisa Bolden, PSYD
	1000 W Carson St, Torrance, CA 90502-2004
	(424) 306-5809
	(310) 328-7217

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Lisa Bolden
Gender	Female
Speciality	Psychologist - Clinical
Location	1000 W Carson St, Torrance, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104991025
Provider Enumeration Date: 11/24/2006
Last Update Date: 03/17/2021

Medicare PECOS Information:

PECOS PAC ID: 8123247814
Enrollment ID: I20140911000303

Medical Identifiers

Medical identifiers for Dr Lisa Bolden such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104991025	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PSY23098 (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. Dr Lisa Bolden allows following entities to bill medicare on her behalf.

Entity Name	Los Angeles County Department Of Mental Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083633929 PECOS PAC ID: 7416869896 Enrollment ID: O20031104000319

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 Lisa Bolden 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 Lisa Bolden, PSYD 1000 W Carson St, Torrance, CA 90502-2004 Ph: (424) 306-5809	Dr Lisa Bolden, PSYD 1000 W Carson St, Torrance, CA 90502-2004 Ph: (424) 306-5809

Reviews and Comments

Psychologist in Torrance, CA

Emily P. Chen, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2601 Airport Dr Ste 135, Torrance, CA 90505 Phone: 424-201-1600 Fax: 424-201-1601
Mrs. Megan Kay Higinbotham, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 25550 Hawthorne Blvd Ste 316, Torrance, CA 90505 Phone: 424-757-4344
Stanley Chow, M.A. Psychologist Medicare: Medicare Enrolled Practice Location: 2325 Crenshaw Blvd, Icat/dmh, Torrance, CA 90501 Phone: 310-972-3337
Dr. Nourit H Korzennik, PH D Psychologist Medicare: Medicare Enrolled Practice Location: 24050 Madison St, Suite 100-c, Torrance, CA 90505 Phone: 310-378-7333
Dale Stuart, PH.D., SC.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3510 Torrance Blvd, Suite 100, Torrance, CA 90503 Phone: 310-371-3543
Miss Erin Shea Linn, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4025 W 226th St, Torrance, CA 90505 Phone: 310-373-4556
Dr. Jessica Lee, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 3838 W Carson St, Suite 333, Torrance, CA 90503 Phone: 310-560-9335

Dr Lisa Bolden, PSYD - Medicare Psychologist in Torrance, CA