Mrs Vivian Ann Villalobos, MS in Riverside, CA

Mrs Vivian Ann Villalobos, MS is a medicare enrolled "Counselor - Mental Health" provider in Riverside, California. Her current practice location is 5051 Canyon Crest Dr Ste 204, Riverside, California. You can reach out to her office (for appointments etc.) via phone at (951) 682-1488.

Mrs Vivian Ann Villalobos is licensed to practice in California (license number 107822) 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 1700131596.

Contact Information

	Mrs Vivian Ann Villalobos, MS
	5051 Canyon Crest Dr Ste 204, Riverside, CA 92507-6035
	(951) 682-1488
	(951) 682-1485

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Vivian Ann Villalobos
Gender	Female
Speciality	Counselor - Mental Health
Location	5051 Canyon Crest Dr Ste 204, Riverside, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700131596
Provider Enumeration Date: 07/17/2012
Last Update Date: 11/15/2019

Medicare PECOS Information:

PECOS PAC ID: 1759732902
Enrollment ID: I20240111003557

Medical Identifiers

Medical identifiers for Mrs Vivian Ann Villalobos such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700131596	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	107822 (California)	Primary
225400000X	Rehabilitation Practitioner	(* (Not Available))	Secondary

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. Mrs Vivian Ann Villalobos allows following entities to bill medicare on her behalf.

Entity Name	Collaborative Psychology Group A Professional Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336532340 PECOS PAC ID: 9436494671 Enrollment ID: O20181217002672

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. Mrs Vivian Ann Villalobos 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
Mrs Vivian Ann Villalobos, MS 5051 Canyon Crest Dr Ste 204, Riverside, CA 92507-6035 Ph: (951) 682-1488	Mrs Vivian Ann Villalobos, MS 5051 Canyon Crest Dr Ste 204, Riverside, CA 92507-6035 Ph: (951) 682-1488

Reviews and Comments

Counselor in Riverside, CA

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Marliz Alvarado, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3576 Arlington Ave Ste 100, Riverside, CA 92506 Phone: 951-374-1555 Fax: 951-394-7426

Mrs Vivian Ann Villalobos, MS - Medicare Counselor in Riverside, CA