Mr Larry Boado Santiago, in Concord, CA - Medicare Marriage & Family Therapist Provider

Mr Larry Boado Santiago, is a medicare enrolled "Marriage & Family Therapist" provider in Concord, California. His current practice location is 2086 Commerce Ave, Concord, California. You can reach out to his office (for appointments etc.) via phone at (925) 827-0212.

Mr Larry Boado Santiago is licensed to practice in California (license number 96681) 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 1518149889.

Contact Information

	Mr Larry Boado Santiago,
	2086 Commerce Ave, Concord, CA 94520-4902
	(925) 827-0212
	(925) 827-1122

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Larry Boado Santiago
Gender	Male
Speciality	Marriage & Family Therapist
Location	2086 Commerce Ave, Concord, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518149889
Provider Enumeration Date: 11/28/2007
Last Update Date: 05/13/2022

Medicare PECOS Information:

PECOS PAC ID: 1052763737
Enrollment ID: I20240118000884

Medical Identifiers

Medical identifiers for Mr Larry Boado Santiago such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518149889	NPI	-	NPPES
1922162999	Other	CA	COMMUNITYBEHAVIORALHEALTH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	(* (Not Available))	Secondary
106H00000X	Marriage & Family Therapist	96681 (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. Mr Larry Boado Santiago allows following entities to bill medicare on his behalf.

Entity Name	Telecare Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720164882 PECOS PAC ID: 6901820380 Enrollment ID: O20070614000167

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. Mr Larry Boado Santiago 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
Mr Larry Boado Santiago, 5140 Diamond Heights Blvd Apt 105a, San Francisco, CA 94131-1747 Ph: (925) 331-0528	Mr Larry Boado Santiago, 2086 Commerce Ave, Concord, CA 94520-4902 Ph: (925) 827-0212

Reviews and Comments

Marriage & Family Therapist in Concord, CA

Miss Victoria Jane Zurkan, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3024 Willow Pass Rd, Concord, CA 94519 Phone: 925-363-5000
Kathleen Vohs, MFTI Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2118 Willow Pass Rd, Suite 500, Concord, CA 94520 Phone: 925-798-7500 Fax: 925-687-9082
Ms. Constance Bravos-williams, Couples Therapy Medicare: Medicare Enrolled Practice Location: 1850 Gateway Blvd Ste 900, Concord, CA 94520 Phone: 925-825-4700
Judith Ellen Rohrer, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 4180 Treat Blvd, Suite T, Concord, CA 94518 Phone: 925-746-4454 Fax: 925-746-4454
Brigette Girardey, Couples Therapy Medicare: Medicare Enrolled Practice Location: 1855 2nd St Ste B, Concord, CA 94519 Phone: 855-223-7123
Carolyn Roller, MFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 785 Oak Grove Rd # E2242, Concord, CA 94518 Phone: 925-238-8230
Elisa Elizabeth Hughes, M.A., MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1868 Clayton Rd, Suite 126, Concord, CA 94520 Phone: 925-609-8448 Fax: 925-609-7222

Mr Larry Boado Santiago, - Medicare Couples Therapy in Concord, CA