Christopher Theobald, LMFT in Lancaster, CA - Medicare Marriage & Family Therapist Provider

Christopher Theobald, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Lancaster, California. His current practice location is 815 W Lancaster Blvd Ste 115, Lancaster, California. You can reach out to his office (for appointments etc.) via phone at (661) 903-8822.

Christopher Theobald is licensed to practice in California (license number LMFT102727) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1487032207.

Contact Information

	Christopher Theobald, LMFT
	815 W Lancaster Blvd Ste 115, Lancaster, CA 93534-2303
	(661) 903-8822
	(661) 903-8860

Map and Direction

Healthcare Provider's Profile

Full Name	Christopher Theobald
Gender	Male
Speciality	Marriage & Family Therapist
Location	815 W Lancaster Blvd Ste 115, Lancaster, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487032207
Provider Enumeration Date: 05/13/2015
Last Update Date: 12/04/2024

Medicare PECOS Information:

PECOS PAC ID: 1052724234
Enrollment ID: I20241121004396

Medical Identifiers

Medical identifiers for Christopher Theobald such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487032207	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	LPCC5295 (California)	Secondary
101YM0800X	Counselor - Mental Health	LPC.0015944 (Colorado)	Secondary
106H00000X	Marriage & Family Therapist	(* (Not Available))	Secondary
106H00000X	Marriage & Family Therapist	MFT.0001733 (Colorado)	Secondary
106H00000X	Marriage & Family Therapist	LMFT102727 (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. Christopher Theobald allows following entities to bill medicare on his behalf.

Entity Name	Real Road Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134688674 PECOS PAC ID: 1052858396 Enrollment ID: O20240803000460

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. Christopher Theobald 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
Christopher Theobald, LMFT 815 W Lancaster Blvd Ste 115, Lancaster, CA 93534-2303 Ph: (661) 903-8822	Christopher Theobald, LMFT 815 W Lancaster Blvd Ste 115, Lancaster, CA 93534-2303 Ph: (661) 903-8822

Reviews and Comments

Marriage & Family Therapist in Lancaster, CA

Ms. Yojanne Blanco, M.A Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 43520 Division Street, Lancaster, CA 93535 Phone: 661-274-0770 Fax: 661-274-9970
Teresa Burbach, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 44847 Sierra Hwy, Lancaster, CA 93534 Phone: 661-510-8625
Mr. Robert Lewis Berger, IMF Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 921 W. Ave. J Suite C, Lancaster, CA 93534 Phone: 661-949-0131 Fax: 661-729-8912
Bianca Martinez, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 815 W Lancaster Blvd Ste 115, Lancaster, CA 93534 Phone: 661-903-8822
Ms. Swanhilda Rosaura Ochoa, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 44285 Lowtree Ave, Lancaster, CA 93534 Phone: 661-341-3900
Kelly Gatewood, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 44421 10th St W Ste 1, Lancaster, CA 93534 Phone: 818-996-1051
Jodi Prior, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 45111 Fern Ave, Lancaster, CA 93534 Phone: 661-949-1206

Christopher Theobald, LMFT - Medicare Couples Therapy in Lancaster, CA