Michael Sulu Maiko Jr, LMFT in Los Angeles, CA - Medicare Marriage & Family Therapist Provider

Michael Sulu Maiko Jr, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Los Angeles, California. His current practice location is 8616 La Tijera Blvd Ste 200, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (310) 337-1550.

Michael Sulu Maiko Jr is licensed to practice in California (license number 128909) 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 1841695756.

Contact Information

	Michael Sulu Maiko Jr, LMFT
	8616 La Tijera Blvd Ste 200, Los Angeles, CA 90045-3945
	(310) 337-1550
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Michael Sulu Maiko Jr
Gender	Male
Speciality	Marriage & Family Therapist
Location	8616 La Tijera Blvd Ste 200, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1841695756
Provider Enumeration Date: 11/04/2014
Last Update Date: 12/20/2021

Medicare PECOS Information:

PECOS PAC ID: 9739524042
Enrollment ID: I20240227000555

Medical Identifiers

Medical identifiers for Michael Sulu Maiko Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841695756	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	110786 (California)	Secondary
171M00000X	Case Manager/care Coordinator	(* (Not Available))	Secondary
106H00000X	Marriage & Family Therapist	128909 (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. Michael Sulu Maiko Jr allows following entities to bill medicare on his behalf.

Entity Name	Soultenders Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164617007 PECOS PAC ID: 6507170453 Enrollment ID: O20150917001766

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. Michael Sulu Maiko Jr 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
Michael Sulu Maiko Jr, LMFT 8616 La Tijera Blvd Ste 200, Los Angeles, CA 90045-3945 Ph: (310) 337-1550	Michael Sulu Maiko Jr, LMFT 8616 La Tijera Blvd Ste 200, Los Angeles, CA 90045-3945 Ph: (310) 337-1550

Reviews and Comments

Marriage & Family Therapist in Los Angeles, CA

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Daryoush Daniel Sadigh, PSY.D. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1575 Westwood Blvd, 205, Los Angeles, CA 90024 Phone: 310-477-8833 Fax: 310-477-8835
Shawn Alene Herz, Couples Therapy Medicare: Medicare Enrolled Practice Location: 3600 Wilshire Blvd Ste 2200, Los Angeles, CA 90010 Phone: 213-382-4400 Fax: 213-382-4494

Michael Sulu Maiko Jr, LMFT - Medicare Couples Therapy in Los Angeles, CA