Ms Chandra Kristine Bomben, MFTI in Auburn, CA - Medicare Marriage & Family Therapist Provider

Ms Chandra Kristine Bomben, MFTI is a medicare enrolled "Marriage & Family Therapist" provider in Auburn, California. Her current practice location is 11768 Atwood Rd Ste 106, Auburn, California. You can reach out to her office (for appointments etc.) via phone at (530) 314-9771.

Ms Chandra Kristine Bomben is licensed to practice in * (Not Available) (license number ) 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 1144426859.

Contact Information

	Ms Chandra Kristine Bomben, MFTI
	11768 Atwood Rd Ste 106, Auburn, CA 95603-9005
	(530) 314-9771
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Chandra Kristine Bomben
Gender	Female
Speciality	Marriage & Family Therapist
Location	11768 Atwood Rd Ste 106, Auburn, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144426859
Provider Enumeration Date: 06/21/2007
Last Update Date: 02/24/2023

Medicare PECOS Information:

PECOS PAC ID: 5991158636
Enrollment ID: I20240129003286

Medical Identifiers

Medical identifiers for Ms Chandra Kristine Bomben such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144426859	NPI	-	NPPES
112196	Other	CA	LICENSED MARRIAGE AND FAMILY THERAPIST

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	(* (Not Available))	Secondary
101Y00000X	Counselor	RAS (* (Not Available))	Secondary
106H00000X	Marriage & Family Therapist	(* (Not Available))	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. Ms Chandra Kristine Bomben allows following entities to bill medicare on her behalf.

Entity Name	Forward Wellness Family Therapy Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093398059 PECOS PAC ID: 9739546144 Enrollment ID: O20230530002815

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. Ms Chandra Kristine Bomben 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
Ms Chandra Kristine Bomben, MFTI 168 Agard St, Auburn, CA 95603-5102 Ph: (530) 314-9771	Ms Chandra Kristine Bomben, MFTI 11768 Atwood Rd Ste 106, Auburn, CA 95603-9005 Ph: (530) 314-9771

Reviews and Comments

Marriage & Family Therapist in Auburn, CA

Ms. Amanda J Anguish, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 13300 New Airport Rd., Ste 103, Auburn, CA 95602 Phone: 530-889-8780 Fax: 530-889-8781
Fran Haynes, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 884 Lincoln Way, Suite 34-b, Auburn, CA 95603 Phone: 530-878-0228
Kimberly Oates, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1275 High St, Auburn, CA 95603 Phone: 530-264-8804
Mrs. Stephanie Chiquillo Kaiser, LMFT, PPSC Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 360 Nevada St, Auburn, CA 95603 Phone: 916-233-7620
Ms. Debora Ann Miller, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 164 Maple St Ste 5, Auburn, CA 95603 Phone: 530-401-2355 Fax: 530-823-7701
Ms. Kelly Couture, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 11512 B Ave, Auburn, CA 95603 Phone: 530-889-7240 Fax: 530-889-7293
Zekiya Otoo, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 265 Nevada St, Auburn, CA 95603 Phone: 530-887-1300

Ms Chandra Kristine Bomben, MFTI - Medicare Couples Therapy in Auburn, CA