Dr Georgina Ines Lamphere Sullivan, PHD - Medicare Psychologist in Rancho Cucamonga, CA

Dr Georgina Ines Lamphere Sullivan, PHD is a medicare enrolled "Psychologist - Clinical" provider in Rancho Cucamonga, California. She graduated from medical school in 1985 and has 39 years of diverse experience with area of expertise as Clinical Psychologist. Her current practice location is 8253 White Oak Ave, Rancho Cucamonga, California. You can reach out to her office (for appointments etc.) via phone at (909) 987-1997.

Dr Georgina Ines Lamphere Sullivan is licensed to practice in California (license number PSY 10649) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1487633616.

Contact Information

Dr Georgina Ines Lamphere Sullivan, PHD
8253 White Oak Ave,
Rancho Cucamonga, CA 91730-7671
(909) 987-1997
(909) 978-0993

Map and Direction




Healthcare Provider's Profile

Full NameDr Georgina Ines Lamphere Sullivan
GenderFemale
SpecialityClinical Psychologist
Experience39 Years
Location8253 White Oak Ave, Rancho Cucamonga, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Georgina Ines Lamphere Sullivan graduated from medical school in 1985
  NPI Data:
  • NPI Number: 1487633616
  • Provider Enumeration Date: 01/16/2006
  • Last Update Date: 05/20/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 0345270062
  • Enrollment ID: I20050812000614

Medical Identifiers

Medical identifiers for Dr Georgina Ines Lamphere Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487633616NPI-NPPES
PSY 10649OtherCAPH.D. LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PSY 10649 (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 Georgina Ines Lamphere Sullivan allows following entities to bill medicare on her behalf.
Entity NameGeorgina Ines Lamphere A Professional Psychology Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912525791
PECOS PAC ID: 4789091687
Enrollment ID: O20210319001705

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 Georgina Ines Lamphere Sullivan 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 AddressPractice Location Address
Dr Georgina Ines Lamphere Sullivan, PHD
8253 White Oak Ave,
Rancho Cucamonga, CA 91730-7671

Ph: (909) 987-1997
Dr Georgina Ines Lamphere Sullivan, PHD
8253 White Oak Ave,
Rancho Cucamonga, CA 91730-7671

Ph: (909) 987-1997

Reviews and Comments


Psychologist in Rancho Cucamonga, CA

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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