Emily Sue Hamp, LMFT in Santa Rosa, CA - Medicare Counselor Provider

Emily Sue Hamp, LMFT is a medicare enrolled "Counselor - Mental Health" provider in Santa Rosa, California. Her current practice location is 1202 Woodlake Dr, Santa Rosa, California. You can reach out to her office (for appointments etc.) via phone at (707) 338-7864.

Emily Sue Hamp is licensed to practice in California (license number 113433) 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 1497390462.

Contact Information

	Emily Sue Hamp, LMFT
	1202 Woodlake Dr, Santa Rosa, CA 95405-9217
	(707) 338-7864
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Emily Sue Hamp
Gender	Female
Speciality	Counselor - Mental Health
Location	1202 Woodlake Dr, Santa Rosa, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497390462
Provider Enumeration Date: 11/13/2019
Last Update Date: 02/11/2022

Medicare PECOS Information:

PECOS PAC ID: 5193163939
Enrollment ID: I20240329001212

Medical Identifiers

Medical identifiers for Emily Sue Hamp such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497390462	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	113433 (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. Emily Sue Hamp 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. Emily Sue Hamp 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
Emily Sue Hamp, LMFT 1202 Woodlake Dr, Santa Rosa, CA 95405-9217 Ph: (707) 338-7864	Emily Sue Hamp, LMFT 1202 Woodlake Dr, Santa Rosa, CA 95405-9217 Ph: (707) 338-7864

Reviews and Comments

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Emily Sue Hamp, LMFT - Medicare Counselor in Santa Rosa, CA