Clarissa Andic, MD - Medicare Psychiatry in Harbor City, CA

Clarissa Andic, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Harbor City, California. She went to University Of Southern California Keck School Of Medicine and graduated in 2000 and has 24 years of diverse experience with area of expertise as Psychiatry. She is a member of the group practice Southern California Permanente Medical Group and her current practice location is 25825 Vermont Ave, Harbor City, California. You can reach out to her office (for appointments etc.) via phone at (310) 325-5111.

Clarissa Andic is licensed to practice in California (license number A82084) 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 1124229000.

Contact Information

Clarissa Andic, MD
25825 Vermont Ave,
Harbor City, CA 90710-3518
(310) 325-5111
Not Available



Physician's Profile

Full NameClarissa Andic
GenderFemale
SpecialityPsychiatry
Experience24 Years
Location25825 Vermont Ave, Harbor City, 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:
  • Clarissa Andic attended and graduated from University Of Southern California Keck School Of Medicine in 2000
  NPI Data:
  • NPI Number: 1124229000
  • Provider Enumeration Date: 05/30/2007
  • Last Update Date: 11/18/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 6406935352
  • Enrollment ID: I20080505000361

Medical Identifiers

Medical identifiers for Clarissa Andic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124229000NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry A82084 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southern California Permanente Medical Group60027291757951

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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. Clarissa Andic allows following entities to bill medicare on her behalf.
Entity NameSouthern California Permanente Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770515280
PECOS PAC ID: 6002729175
Enrollment ID: O20031110000678

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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. Clarissa Andic 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
Clarissa Andic, MD
25825 Vermont Ave,
Harbor City, CA 90710-3518

Ph: (310) 325-5111
Clarissa Andic, MD
25825 Vermont Ave,
Harbor City, CA 90710-3518

Ph: (310) 325-5111

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Psychiatry & Neurology Doctors in Harbor City, CA

Donna L. Ehlers, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 25825 Vermont Ave, Harbor City, CA 90710
Phone: 310-325-5111    
David J. Hannauer, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 25825 Vermont Ave, Harbor City, CA 90710
Phone: 310-325-5111    
Fred M. Freedman, MD
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 25825 Vermont Ave, Harbor City, CA 90710
Phone: 310-325-5111    
Rajesh Bhagat, MD
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 25825 Vermont Ave, Harbor City, CA 90710
Phone: 310-325-5111    
Eileen L. Bardolph, MD
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 25825 Vermont Ave, Harbor City, CA 90710
Phone: 310-325-5111    
Miguel A. Arias, MD
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 25825 Vermont Ave, Harbor City, CA 90710
Phone: 310-325-5111    

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