Callie Khoury, in San Diego, CA - Medicare Counselor Provider

Callie Khoury, is a medicare enrolled "Counselor - Mental Health" provider in San Diego, California. Her current practice location is 3511 Camino Del Rio S, San Diego, California. You can reach out to her office (for appointments etc.) via phone at (888) 688-0248.

Callie Khoury is licensed to practice in California (license number 16110) 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 1659924066.

Contact Information

	Callie Khoury,
	3511 Camino Del Rio S, San Diego, CA 92108-4003
	(888) 688-0248
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Callie Khoury
Gender	Female
Speciality	Counselor - Mental Health
Location	3511 Camino Del Rio S, 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: 1659924066
Provider Enumeration Date: 07/24/2019
Last Update Date: 03/25/2024

Medicare PECOS Information:

PECOS PAC ID: 4082055058
Enrollment ID: I20240509000145

Medical Identifiers

Medical identifiers for Callie Khoury such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659924066	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	16110 (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. Callie Khoury allows following entities to bill medicare on her behalf.

Entity Name	Fusion Care Group A Psychological Professional Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275177982 PECOS PAC ID: 8921433590 Enrollment ID: O20200109000932

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. Callie Khoury 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
Callie Khoury, 2931 Canon St # 6801, San Diego, CA 92106-2709 Ph: () -	Callie Khoury, 3511 Camino Del Rio S, San Diego, CA 92108-4003 Ph: (888) 688-0248

Reviews and Comments

Counselor in San Diego, CA

Dione Taylor, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2865 Logan Ave, San Diego, CA 92113 Phone: 619-232-4357 Fax: 619-232-7048
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Alissa Ann Maitino, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 734 10th Ave, San Diego, CA 92101 Phone: 619-239-4663 Fax: 619-239-3045
Margaret Knight, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3665 Kearny Villa Rd, San Diego, CA 92123 Phone: 858-576-1700
Amanda Garrison, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9445 Farnham St, Suite100, San Diego, CA 92123 Phone: 858-380-4676

Callie Khoury, - Medicare Counselor in San Diego, CA