Mr Richard Fontenot, MA, MFT in Los Angeles, CA

Mr Richard Fontenot, MA, MFT is a medicare enrolled "Counselor - Mental Health" provider in Los Angeles, California. His current practice location is 1500 S Mcdonnell Ave, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (323) 981-4301.

Mr Richard Fontenot is licensed to practice in California (license number 48187) 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 1952465312.

Contact Information

	Mr Richard Fontenot, MA, MFT
	1500 S Mcdonnell Ave, Los Angeles, CA 90040-5623
	(323) 981-4301
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Richard Fontenot
Gender	Male
Speciality	Counselor - Mental Health
Location	1500 S Mcdonnell Ave, 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: 1952465312
Provider Enumeration Date: 12/20/2006
Last Update Date: 06/11/2009

Medicare PECOS Information:

PECOS PAC ID: 0042658932
Enrollment ID: I20240411000978

Medical Identifiers

Medical identifiers for Mr Richard Fontenot such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952465312	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	48187 (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 Richard Fontenot 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 Richard Fontenot 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 Richard Fontenot, MA, MFT 608 S St Andrews Pl, Penthouse 509, Los Angeles, CA 90005-3098 Ph: (323) 981-4301	Mr Richard Fontenot, MA, MFT 1500 S Mcdonnell Ave, Los Angeles, CA 90040-5623 Ph: (323) 981-4301

Reviews and Comments

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Mr Richard Fontenot, MA, MFT - Medicare Counselor in Los Angeles, CA