Mrs Jessica Allyssa Martin, in Chula Vista, CA

Mrs Jessica Allyssa Martin, is a medicare enrolled "Counselor" provider in Chula Vista, California. Her current practice location is 855 Third Ave Suite 2230, Chula Vista, California. You can reach out to her office (for appointments etc.) via phone at (760) 822-9946.

Mrs Jessica Allyssa Martin is licensed to practice in California (license number LMFT117187) 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 1669037883.

Contact Information

	Mrs Jessica Allyssa Martin,
	855 Third Ave Suite 2230, Chula Vista, CA 91911
	(760) 822-9946
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Jessica Allyssa Martin
Gender	Female
Speciality	Counselor
Location	855 Third Ave Suite 2230, Chula Vista, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1669037883
Provider Enumeration Date: 05/02/2019
Last Update Date: 01/22/2021

Medicare PECOS Information:

PECOS PAC ID: 0749632826
Enrollment ID: I20240115001552

Medical Identifiers

Medical identifiers for Mrs Jessica Allyssa Martin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669037883	NPI	-	NPPES
104313	Other	CA	BOARD OF BEHAVIORAL SCIENCES
117187	Other	CA	BOARD OF BEHAVIORAL SCIENCES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	(* (Not Available))	Secondary
106H00000X	Marriage & Family Therapist	117187 (California)	Secondary
101Y00000X	Counselor	LMFT117187 (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. Mrs Jessica Allyssa Martin allows following entities to bill medicare on her behalf.

Entity Name	Mindful Evolution Family Therapy Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932815255 PECOS PAC ID: 9830541911 Enrollment ID: O20240115001543

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. Mrs Jessica Allyssa Martin 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
Mrs Jessica Allyssa Martin, 855 Third Ave Suite 2230, Chula Vista, CA 91911 Ph: (760) 822-9946	Mrs Jessica Allyssa Martin, 855 Third Ave Suite 2230, Chula Vista, CA 91911 Ph: (760) 822-9946

Reviews and Comments

Counselor in Chula Vista, CA

Stephanie Velbis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 730 Medical Center Ct, Chula Vista, CA 91911 Phone: 691-397-6931
Jacquelin L Lyle, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1735 Melrose Ave Unit 53, Chula Vista, CA 91911 Phone: 619-426-0926
Michael Lozano, B.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 264 Landis Ave Ste 200, Chula Vista, CA 91910 Phone: 619-997-6851
Raul Franco, CADC-II Counselor Medicare: Not Enrolled in Medicare Practice Location: 73 N 2nd Ave Ste B, Chula Vista, CA 91910 Phone: 619-426-4801 Fax: 619-426-0034
Jamie Rhine, Counselor Medicare: Not Enrolled in Medicare Practice Location: 855 3rd Ave Ste 1110, Chula Vista, CA 91911 Phone: 619-934-5770
Amanda Mckay Rabago, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1161 Bay Blvd Ste B, Chula Vista, CA 91911 Phone: 619-585-7686
Cordelia Woodhouse, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1105 Broadway, Suite 207, Chula Vista, CA 91911 Phone: 619-425-5609 Fax: 619-425-8349

Mrs Jessica Allyssa Martin, - Medicare Counselor in Chula Vista, CA