James Lloyd Fandialan, MA, LPCC 7084 in San Jose, CA

James Lloyd Fandialan, MA, LPCC 7084 is a medicare enrolled "Counselor - Mental Health" provider in San Jose, California. His current practice location is 2150 N 1st St Ste 650, San Jose, California. You can reach out to his office (for appointments etc.) via phone at (408) 964-7300.

James Lloyd Fandialan is licensed to practice in California (license number 7084) 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 1396289716.

Contact Information

	James Lloyd Fandialan, MA, LPCC 7084
	2150 N 1st St Ste 650, San Jose, CA 95131-2031
	(408) 964-7300
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	James Lloyd Fandialan
Gender	Male
Speciality	Counselor - Mental Health
Location	2150 N 1st St Ste 650, San Jose, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396289716
Provider Enumeration Date: 12/05/2016
Last Update Date: 08/04/2022

Medicare PECOS Information:

PECOS PAC ID: 9830535608
Enrollment ID: I20240314003680

Medical Identifiers

Medical identifiers for James Lloyd Fandialan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396289716	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	PCI 3068 (California)	Secondary
101YM0800X	Counselor - Mental Health	7084 (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. James Lloyd Fandialan 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. James Lloyd Fandialan 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
James Lloyd Fandialan, MA, LPCC 7084 501 N Brookhurst St, Suite 320, Anaheim, CA 92801-5226 Ph: (714) 490-7711	James Lloyd Fandialan, MA, LPCC 7084 2150 N 1st St Ste 650, San Jose, CA 95131-2031 Ph: (408) 964-7300

Reviews and Comments

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James Lloyd Fandialan, MA, LPCC 7084 - Medicare Counselor in San Jose, CA