Graham Livesay, in San Mateo, CA - Medicare Counselor Provider

Graham Livesay, is a medicare enrolled "Counselor - Professional" provider in San Mateo, California. His current practice location is 2015 Pioneer Ct Ste B, San Mateo, California. You can reach out to his office (for appointments etc.) via phone at (650) 348-6603.

Graham Livesay is licensed to practice in California (license number LPCC13305) 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 1124681986.

Contact Information

	Graham Livesay,
	2015 Pioneer Ct Ste B, San Mateo, CA 94403-1736
	(650) 348-6603
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Graham Livesay
Gender	Male
Speciality	Counselor - Professional
Location	2015 Pioneer Ct Ste B, San Mateo, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124681986
Provider Enumeration Date: 04/17/2019
Last Update Date: 10/23/2023

Medicare PECOS Information:

PECOS PAC ID: 8527401355
Enrollment ID: I20240208003498

Medical Identifiers

Medical identifiers for Graham Livesay such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124681986	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	LPCC13305 (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. Graham Livesay allows following entities to bill medicare on his 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. Graham Livesay 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
Graham Livesay, 2015 Pioneer Ct Ste B, San Mateo, CA 94403-1736 Ph: () -	Graham Livesay, 2015 Pioneer Ct Ste B, San Mateo, CA 94403-1736 Ph: (650) 348-6603

Reviews and Comments

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Graham Livesay, - Medicare Counselor in San Mateo, CA