| Elizabeth Rivera, | |
|
111 Smith Ranch Rd, San Rafael, CA 94903-1939 | |
| (415) 591-3000 | |
| Not Available |
| Full Name | Elizabeth Rivera |
|---|---|
| Gender | Female |
| Speciality | Clinical Psychologist |
| Experience | 3 Years |
| Location | 111 Smith Ranch Rd, San Rafael, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740771005 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 35485 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Permanente Medical Group Inc | 8921910225 | 10928 |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Rivera, 60 Benton Ave, San Francisco, CA 94112-1104 Ph: (415) 806-4202 | Elizabeth Rivera, 111 Smith Ranch Rd, San Rafael, CA 94903-1939 Ph: (415) 591-3000 |
Miss Geeta Ann Davidson, M.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 20 N San Pedro Rd, San Rafael, CA 94903 Phone: 415-473-7637 |
Dr. Leslie Frances Chatham, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 820 Las Gallinas Ave, San Rafael, CA 94903 Phone: 415-444-3522 Fax: 415-444-3019 |
Dr. Carol H Pollard, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 16 Jeanette Prandi Way, Marin Co Juvenile Hall, San Rafael, CA 94903 Phone: 415-499-6894 |
Dr. Ann Gold Buscho, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 711 D St, Suite 207, San Rafael, CA 94901 Phone: 415-456-0952 |
Dr. Boukje Elisabeth Eerkens, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1050 Northgate Dr Ste 12, San Rafael, CA 94903 Phone: 415-272-3406 Fax: 415-300-3086 |
Stephanie Lopez, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 111 Smith Ranch Rd, San Rafael, CA 94903 Phone: 415-491-3127 |
Dr. Ali Navarro, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 820 Las Gallinas Ave, San Rafael, CA 94903 Phone: 415-444-3522 Fax: 415-444-3019 |