Bonavy Som-keo, in Gardena, CA - Medicare Marriage & Family Therapist Provider

Bonavy Som-keo, is a medicare enrolled "Marriage & Family Therapist" provider in Gardena, California. Her current practice location is 14112 S Kingsley Dr, Gardena, California. You can reach out to her office (for appointments etc.) via phone at (310) 217-7312.

Bonavy Som-keo is licensed to practice in California (license number 145519) 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 1730628363.

Contact Information

	Bonavy Som-keo,
	14112 S Kingsley Dr, Gardena, CA 90249-3018
	(310) 217-7312
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Bonavy Som-keo
Gender	Female
Speciality	Marriage & Family Therapist
Location	14112 S Kingsley Dr, Gardena, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730628363
Provider Enumeration Date: 02/15/2017
Last Update Date: 07/24/2024

Medicare PECOS Information:

PECOS PAC ID: 8921447087
Enrollment ID: I20240422003099

Medical Identifiers

Medical identifiers for Bonavy Som-keo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730628363	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	Secondary
106H00000X	Marriage & Family Therapist	(* (Not Available))	Secondary
106H00000X	Marriage & Family Therapist	145519 (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. Bonavy Som-keo allows following entities to bill medicare on her behalf.

Entity Name	Los Angeles County Department Of Mental Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083633929 PECOS PAC ID: 7416869896 Enrollment ID: O20031104000319

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. Bonavy Som-keo 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
Bonavy Som-keo, 14112 S Kingsley Dr, Gardena, CA 90249-3018 Ph: (310) 217-7312	Bonavy Som-keo, 14112 S Kingsley Dr, Gardena, CA 90249-3018 Ph: (310) 217-7312

Reviews and Comments

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Bonavy Som-keo, - Medicare Couples Therapy in Gardena, CA