Brooke Kettering, in San Diego, CA - Medicare Marriage & Family Therapist Provider

Brooke Kettering, is a medicare enrolled "Marriage & Family Therapist" provider in San Diego, California. Her current practice location is 4850 Muir Ave Apt 9, San Diego, California. You can reach out to her office (for appointments etc.) via phone at (805) 633-0761.

Brooke Kettering is licensed to practice in California (license number 116397) 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 1134569031.

Contact Information

	Brooke Kettering,
	4850 Muir Ave Apt 9, San Diego, CA 92107-2145
	(805) 633-0761
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Brooke Kettering
Gender	Female
Speciality	Marriage & Family Therapist
Location	4850 Muir Ave Apt 9, San Diego, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134569031
Provider Enumeration Date: 06/25/2013
Last Update Date: 07/13/2023

Medicare PECOS Information:

PECOS PAC ID: 0143664557
Enrollment ID: I20240213004483

Medical Identifiers

Medical identifiers for Brooke Kettering such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134569031	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	116397 (California)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
106H00000X	Marriage & Family Therapist	116397 (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. Brooke Kettering allows following entities to bill medicare on her behalf.

Entity Name	Grow Healthcare Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080

Entity Name	Brooke Kettering Lmft
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467136101 PECOS PAC ID: 0345684759 Enrollment ID: O20240213004373

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. Brooke Kettering 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
Brooke Kettering, 4850 Muir Ave Apt 9, San Diego, CA 92107-2145 Ph: (805) 633-0761	Brooke Kettering, 4850 Muir Ave Apt 9, San Diego, CA 92107-2145 Ph: (805) 633-0761

Reviews and Comments

Marriage & Family Therapist in San Diego, CA

Mrs. Veronica Yvette Ephraim, M.S. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1202 Morena Blvd Ste 300, San Diego, CA 92110 Phone: 619-398-3261 Fax: 619-275-2023
Dr. Brent Taylor, PH.D. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2423 Camino Del Rio S Ste 103, San Diego, CA 92108 Phone: 619-594-3871
Esmeralda Solorzano Christensen, MFT, LPCC Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 5100 Marlborough Dr, San Diego, CA 92116 Phone: 619-567-7399 Fax: 619-567-7399
Dr. Tiffany Juterbock Roberts, PSYD, LMFT 53905 Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 17140 Bernardo Center Dr, San Diego, CA 92128 Phone: 858-451-5190 Fax: 588-451-5199
Liane Fry, Couples Therapy Medicare: Medicare Enrolled Practice Location: 4311 3rd Ave, San Diego, CA 92103 Phone: 619-278-6516
Rosio Auger, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 7986 Dagget St, San Diego, CA 92111 Phone: 858-300-0460
Kirsten May Wimmer, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 11622 El Camino Real Ste 100, San Diego, CA 92130 Phone: 619-549-0329

Brooke Kettering, - Medicare Couples Therapy in San Diego, CA