Si Si Han, PHD, ABPP in Ellicott City, MD - Medicare Psychologist Provider

Si Si Han, PHD, ABPP is a medicare enrolled "Psychologist - Clinical" provider in Ellicott City, Maryland. Her current practice location is 3290 N Ridge Rd, Ellicott City, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 988-2192.

Si Si Han is licensed to practice in Maryland (license number 06921) 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 1104305218.

Contact Information

	Si Si Han, PHD, ABPP
	3290 N Ridge Rd, Ellicott City, MD 21043-3655
	(410) 988-2192
	(410) 988-2927

Map and Direction

Healthcare Provider's Profile

Full Name	Si Si Han
Gender	Female
Speciality	Psychologist - Clinical
Location	3290 N Ridge Rd, Ellicott City, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104305218
Provider Enumeration Date: 08/09/2018
Last Update Date: 09/01/2023

Medicare PECOS Information:

PECOS PAC ID: 5799102869
Enrollment ID: I20200903002003

Medical Identifiers

Medical identifiers for Si Si Han such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104305218	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	0810006276 (Virginia)	Secondary
103TC0700X	Psychologist - Clinical	06921 (Maryland)	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. Si Si Han allows following entities to bill medicare on her behalf.

Entity Name	Winchester Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679711261 PECOS PAC ID: 0244134021 Enrollment ID: O20031124000061

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. Si Si Han 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
Si Si Han, PHD, ABPP 3290 N Ridge Rd Ste 260, Ellicott City, MD 21043-3912 Ph: (410) 988-2192	Si Si Han, PHD, ABPP 3290 N Ridge Rd, Ellicott City, MD 21043-3655 Ph: (410) 988-2192

Reviews and Comments

Psychologist in Ellicott City, MD

Dr. Naomi Tomoyasu, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10269 Bristol Channel, Ellicott City, MD 21042 Phone: 410-971-1102 Fax: 410-203-2258
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Mrs. Barbara Kaufman, EDD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 8156 Main St, Ellicott City, MD 21043 Phone: 301-309-9362
Brittney Diane Stafford, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4785 Dorsey Hall Dr Ste 109, Ellicott City, MD 21042 Phone: 410-531-5087
Kevin Hughes, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10910 Clarksville Pike, Ellicott City, MD 21042 Phone: 410-313-2819

Si Si Han, PHD, ABPP - Medicare Psychologist in Ellicott City, MD