Marie Cholula, in Stockton, CA - Medicare Marriage & Family Therapist Provider

Marie Cholula, is a medicare enrolled "Marriage & Family Therapist" provider in Stockton, California. Her current practice location is 6 W Canterbury Dr, Stockton, California. You can reach out to her office (for appointments etc.) via phone at (209) 953-7289.

Marie Cholula is licensed to practice in California (license number 139853) 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 1275098055.

Contact Information

	Marie Cholula,
	6 W Canterbury Dr, Stockton, CA 95207-5706
	(209) 953-7289
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Marie Cholula
Gender	Female
Speciality	Marriage & Family Therapist
Location	6 W Canterbury Dr, Stockton, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275098055
Provider Enumeration Date: 02/05/2019
Last Update Date: 10/28/2024

Medicare PECOS Information:

PECOS PAC ID: 7113450552
Enrollment ID: I20241024000401

Medical Identifiers

Medical identifiers for Marie Cholula such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275098055	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	(* (Not Available))	Secondary
106H00000X	Marriage & Family Therapist	AMFT120341 (California)	Secondary
106H00000X	Marriage & Family Therapist	139853 (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. Marie Cholula allows following entities to bill medicare on her behalf.

Entity Name	County Of San Joaquin
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215028931 PECOS PAC ID: 6002703436 Enrollment ID: O20050915001095

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. Marie Cholula 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
Marie Cholula, 1212 N California St, Stockton, CA 95202-1552 Ph: (209) 808-6641	Marie Cholula, 6 W Canterbury Dr, Stockton, CA 95207-5706 Ph: (209) 953-7289

Reviews and Comments

Marriage & Family Therapist in Stockton, CA

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Marie Cholula, - Medicare Couples Therapy in Stockton, CA