Emma Mefom, LCSW in Santa Clara, CA - Medicare Counselor Provider

Emma Mefom, LCSW is a medicare enrolled "Counselor - Mental Health" provider in Santa Clara, California. Her current practice location is 3840 Homestead Rd, Santa Clara, California. You can reach out to her office (for appointments etc.) via phone at (408) 851-4938.

Emma Mefom is licensed to practice in California (license number 94605) 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 1568072908.

Contact Information

	Emma Mefom, LCSW
	3840 Homestead Rd, Santa Clara, CA 95051-4542
	(408) 851-4938
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Emma Mefom
Gender	Female
Speciality	Counselor - Mental Health
Location	3840 Homestead Rd, Santa Clara, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568072908
Provider Enumeration Date: 07/31/2020
Last Update Date: 01/03/2022

Medicare PECOS Information:

PECOS PAC ID: 7315348067
Enrollment ID: I20210701001564

Medical Identifiers

Medical identifiers for Emma Mefom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568072908	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	94605 (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. Emma Mefom 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. Emma Mefom 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
Emma Mefom, LCSW 300 Pasteur Dr Rm Hc 029, Stanford, CA 94305-2200 Ph: () -	Emma Mefom, LCSW 3840 Homestead Rd, Santa Clara, CA 95051-4542 Ph: (408) 851-4938

Reviews and Comments

Counselor in Santa Clara, CA

Cheryl Leigh Rouse, Counselor Medicare: Medicare Enrolled Practice Location: 3490 The Alameda, Santa Clara, CA 95050 Phone: 408-243-0222
Richard Grant Muir, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 3490 The Alameda, Santa Clara, CA 95050 Phone: 408-243-0222
Rachel Lasky, Counselor Medicare: Not Enrolled in Medicare Practice Location: 700 Agnew Rd Apt 425, Santa Clara, CA 95054 Phone: 480-286-1192
Laura Daniela Martinez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3490 The Alameda, Santa Clara, CA 95050 Phone: 408-243-0222
Michelle Albanese Pettengill, ASW Counselor Medicare: Not Enrolled in Medicare Practice Location: 3490 The Alameda, Santa Clara, CA 95050 Phone: 408-243-0222
Stephanie Helen Schultze Ponce, Counselor Medicare: Medicare Enrolled Practice Location: 3840 Homestead Rd, Santa Clara, CA 95051 Phone: 408-851-4922
Jon Michael Faxon, LCSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 3840 Homestead Road, Kaiser Permanete -- Behavioral Health Center, Santa Clara, CA 95051 Phone: 408-569-2604

Emma Mefom, LCSW - Medicare Counselor in Santa Clara, CA