Mr Martin J Deza, LMFT in San Diego, CA - Medicare Counselor Provider

Mr Martin J Deza, LMFT is a medicare enrolled "Counselor - Mental Health" provider in San Diego, California. His current practice location is 13060 Via Caballo Rojo, San Diego, California. You can reach out to his office (for appointments etc.) via phone at (760) 445-5609.

Mr Martin J Deza is licensed to practice in California (license number 106348) 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 1518511930.

Contact Information

	Mr Martin J Deza, LMFT
	13060 Via Caballo Rojo, San Diego, CA 92129-3042
	(760) 445-5609
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Martin J Deza
Gender	Male
Speciality	Counselor - Mental Health
Location	13060 Via Caballo Rojo, 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: 1518511930
Provider Enumeration Date: 07/25/2019
Last Update Date: 07/25/2019

Medicare PECOS Information:

PECOS PAC ID: 6002254612
Enrollment ID: I20240402001691

Medical Identifiers

Medical identifiers for Mr Martin J Deza such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518511930	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	106348 (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 Martin J Deza allows following entities to bill medicare on his behalf.

Entity Name	Grow Healthcare Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080

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 Martin J Deza 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 Martin J Deza, LMFT 13060 Via Caballo Rojo, San Diego, CA 92129-3042 Ph: (760) 445-5609	Mr Martin J Deza, LMFT 13060 Via Caballo Rojo, San Diego, CA 92129-3042 Ph: (760) 445-5609

Reviews and Comments

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Mr Martin J Deza, LMFT - Medicare Counselor in San Diego, CA