Dominic Gerald Villanueva, LMFT in South Pasadena, CA - Medicare Marriage & Family Therapist Provider

Dominic Gerald Villanueva, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in South Pasadena, California. His current practice location is 625 Fair Oaks Ave Ste 300, South Pasadena, California. You can reach out to his office (for appointments etc.) via phone at (626) 441-4221.

Dominic Gerald Villanueva is licensed to practice in California (license number LMFT142110) 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 1124662994.

Contact Information

	Dominic Gerald Villanueva, LMFT
	625 Fair Oaks Ave Ste 300, South Pasadena, CA 91030-5805
	(626) 441-4221
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dominic Gerald Villanueva
Gender	Male
Speciality	Marriage & Family Therapist
Location	625 Fair Oaks Ave Ste 300, South Pasadena, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124662994
Provider Enumeration Date: 11/04/2019
Last Update Date: 02/29/2024

Medicare PECOS Information:

PECOS PAC ID: 6800239542
Enrollment ID: I20240208004366

Medical Identifiers

Medical identifiers for Dominic Gerald Villanueva such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124662994	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	116326 (California)	Secondary
106H00000X	Marriage & Family Therapist	116326 (California)	Secondary
106H00000X	Marriage & Family Therapist	LMFT142110 (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. Dominic Gerald Villanueva allows following entities to bill medicare on his behalf.

Entity Name	Pacific Clinics
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255496105 PECOS PAC ID: 4082008420 Enrollment ID: O20220228001926

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. Dominic Gerald Villanueva 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
Dominic Gerald Villanueva, LMFT 625 Fair Oaks Ave Ste 300, South Pasadena, CA 91030-5805 Ph: (626) 441-4221	Dominic Gerald Villanueva, LMFT 625 Fair Oaks Ave Ste 300, South Pasadena, CA 91030-5805 Ph: (626) 441-4221

Reviews and Comments

Marriage & Family Therapist in South Pasadena, CA

Ms. Judy Lee Ingoldsby, MA Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1910 Huntington Dr, South Pasadena, CA 91030 Phone: 626-441-2868 Fax: 626-441-6389
Mrs. Megan Lynn Murphy, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 205 Pasadena Ave, South Pasadena, CA 91030 Phone: 323-344-5536
Qing Ye, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 205 Pasadena Ave, South Pasadena, CA 91030 Phone: 323-344-5536
Ms. Erika Hirsch, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 625 Fair Oaks Ave, Suite 300, South Pasadena, CA 91030 Phone: 626-831-4441
Mr. Mark Anthony Acuna, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 205 Pasadena Ave, South Pasadena, CA 91030 Phone: 323-344-5536
Lindsey Schwartz, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 205 Pasadena Ave, South Pasadena, CA 91030 Phone: 323-344-5536
Diane Orozco, MFT-I Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 149 Pasadena Ave, South Pasadena, CA 91030 Phone: 323-274-3065

Dominic Gerald Villanueva, LMFT - Medicare Couples Therapy in South Pasadena, CA