Carolyn Ann Cacciatore, MA in Petaluma, CA - Medicare Marriage & Family Therapist Provider

Carolyn Ann Cacciatore, MA is a medicare enrolled "Marriage & Family Therapist" provider in Petaluma, California. Her current practice location is 365 Kuck Ln, Petaluma, California. You can reach out to her office (for appointments etc.) via phone at (707) 795-6954.

Carolyn Ann Cacciatore is licensed to practice in California (license number IMF 76011) 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 1083041651.

Contact Information

	Carolyn Ann Cacciatore, MA
	365 Kuck Ln, Petaluma, CA 94952-9606
	(707) 795-6954
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Carolyn Ann Cacciatore
Gender	Female
Speciality	Marriage & Family Therapist
Location	365 Kuck Ln, Petaluma, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083041651
Provider Enumeration Date: 09/27/2013
Last Update Date: 12/17/2014

Medicare PECOS Information:

PECOS PAC ID: 3678917556
Enrollment ID: I20240219003493

Medical Identifiers

Medical identifiers for Carolyn Ann Cacciatore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083041651	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	IMF 76011 (California)	Secondary
101Y00000X	Counselor	IMF 76011 (California)	Secondary
106H00000X	Marriage & Family Therapist	IMF 76011 (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. Carolyn Ann Cacciatore allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Carolyn Ann Cacciatore 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
Carolyn Ann Cacciatore, MA 365 Kuck Ln, Petaluma, CA 94952-9606 Ph: (707) 795-6954	Carolyn Ann Cacciatore, MA 365 Kuck Ln, Petaluma, CA 94952-9606 Ph: (707) 795-6954

Reviews and Comments

Marriage & Family Therapist in Petaluma, CA

Ms. Marilyn Stefonetti, LMFT, NE Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 6 Petaluma Blvd N Ste B4, Petaluma, CA 94952 Phone: 707-762-3660
Thomas Alan Robbe, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1500 Petaluma Blvd S Ste A, Petaluma, CA 94952 Phone: 707-765-8488 Fax: 707-765-8482
Mrs. Patricia Jane Brown, PHD MFT LAC Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 513 Petaluma Blvd South, Petaluma, CA 94952 Phone: 707-762-2240 Fax: 707-762-9290
Lisa Benitez, MA Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 365 Kuck Ln, Petaluma, CA 94952 Phone: 707-795-6954
Patricia D Hallenbeck, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 159 Kentucky St, Ste 10, Petaluma, CA 94952 Phone: 707-769-1461
Ms. Rachel Margo Kaplan, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 115 Liberty St Ste 5, Petaluma, CA 94952 Phone: 415-269-2721
Mr. Jason Lechner, LMFT 51079 Couples Therapy Medicare: Medicare Enrolled Practice Location: 1733 Skillman Ln, Petaluma, CA 94952 Phone: 925-324-8089

Carolyn Ann Cacciatore, MA - Medicare Couples Therapy in Petaluma, CA