Khalima Alicia Bolden, PHD in Sacramento, CA - Medicare Psychologist Provider

Khalima Alicia Bolden, PHD is a medicare enrolled "Psychologist" provider in Sacramento, California. Her current practice location is 2230 Stockton Blvd, Sacramento, California. You can reach out to her office (for appointments etc.) via phone at (916) 734-2964.

Khalima Alicia Bolden is licensed to practice in California (license number ) 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 1609136597.

Contact Information

	Khalima Alicia Bolden, PHD
	2230 Stockton Blvd, Sacramento, CA 95817-1353
	(916) 734-2964
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Khalima Alicia Bolden
Gender	Female
Speciality	Psychologist
Location	2230 Stockton Blvd, Sacramento, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609136597
Provider Enumeration Date: 05/24/2012
Last Update Date: 10/11/2017

Medicare PECOS Information:

PECOS PAC ID: 5698026508
Enrollment ID: I20180914002221

Medical Identifiers

Medical identifiers for Khalima Alicia Bolden such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609136597	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	(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. Khalima Alicia Bolden allows following entities to bill medicare on her behalf.

Entity Name	Regents Of The University Of California
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952998973 PECOS PAC ID: 8022922475 Enrollment ID: O20031118001149

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. Khalima Alicia 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
Khalima Alicia Bolden, PHD 2230 Stockton Blvd, Sacramento, CA 95817-1353 Ph: (916) 734-2964	Khalima Alicia Bolden, PHD 2230 Stockton Blvd, Sacramento, CA 95817-1353 Ph: (916) 734-2964

Reviews and Comments

Psychologist in Sacramento, CA

Brandi Hawk, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3671 Business Dr, Suite 110, Sacramento, CA 95820 Phone: 916-734-3125
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Dr. Edward E. Hall, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 418 Alhambra Blvd, Sacramento, CA 95816 Phone: 916-441-2210 Fax: 916-442-7002
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Dr. Margaret See-kee Lee, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2530 J St, Suite 310, Sacramento, CA 95816 Phone: 858-354-6999 Fax: 619-688-9222
Dr. Tiffany Rose Mimms, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1521 Corporate Way, Ste 200, Sacramento, CA 95831 Phone: 916-216-8433
Dr. Melissa L Jinariu, PSY.D., LMFT Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3671 Business Center Dr., Sacramento, CA 95820 Phone: 916-734-2278 Fax: 916-734-4150

Khalima Alicia Bolden, PHD - Medicare Psychologist in Sacramento, CA