Kathleen H Maietta, LCSW in San Diego, CA - Medicare Counselor Provider

Kathleen H Maietta, LCSW is a medicare enrolled "Counselor - Mental Health" provider in San Diego, California. Her current practice location is 4725 Market St, San Diego, California. You can reach out to her office (for appointments etc.) via phone at (860) 965-3818.

Kathleen H Maietta is licensed to practice in Massachusetts (license number 121686) 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 1487128617.

Contact Information

	Kathleen H Maietta, LCSW
	4725 Market St, San Diego, CA 92102
	(860) 965-3818
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kathleen H Maietta
Gender	Female
Speciality	Counselor - Mental Health
Location	4725 Market St, San Diego, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487128617
Provider Enumeration Date: 01/22/2019
Last Update Date: 04/29/2019

Medicare PECOS Information:

PECOS PAC ID: 8628302643
Enrollment ID: I20190625003910

Medical Identifiers

Medical identifiers for Kathleen H Maietta such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487128617	NPI	-	NPPES
1487128617	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	121686 (Massachusetts)	Primary
1041C0700X	Social Worker - Clinical	121686 (Massachusetts)	Secondary

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. Kathleen H Maietta allows following entities to bill medicare on her behalf.

Entity Name	Family Health Centers Of San Diego, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447281936 PECOS PAC ID: 3476446378 Enrollment ID: O20040204000923

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. Kathleen H Maietta 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
Kathleen H Maietta, LCSW 2865 Logan Ave, San Diego, CA 92113-2411 Ph: (619) 232-4357	Kathleen H Maietta, LCSW 4725 Market St, San Diego, CA 92102 Ph: (860) 965-3818

Reviews and Comments

Counselor in San Diego, CA

Dione Taylor, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2865 Logan Ave, San Diego, CA 92113 Phone: 619-232-4357 Fax: 619-232-7048
Marva Albertha Harris, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4335 Swift Ave, San Diego, CA 92104 Phone: 619-358-5665 Fax: 619-358-5665
Susan Elizabeth Mcdowell, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1250 Morena Blvd, San Diego, CA 92110 Phone: 619-692-8715
Gina Ballestreos, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2535 Kettner Blvd, Suite 1a4, San Diego, CA 92101 Phone: 619-615-0701 Fax: 619-615-0705
Alissa Ann Maitino, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 734 10th Ave, San Diego, CA 92101 Phone: 619-239-4663 Fax: 619-239-3045
Margaret Knight, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3665 Kearny Villa Rd, San Diego, CA 92123 Phone: 858-576-1700
Amanda Garrison, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9445 Farnham St, Suite100, San Diego, CA 92123 Phone: 858-380-4676

Kathleen H Maietta, LCSW - Medicare Counselor in San Diego, CA