Ms Marla M Madrid, MSW, LCSW, LAC, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Bennett, Colorado. Her current practice location is
190 S 1st St, Bennett, Colorado. You can reach out to her office (for appointments etc.) via phone at
(303) 644-4240.
Ms Marla M Madrid is licensed to practice in Colorado (license number MFT0001999) 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 1992046908.
Healthcare Provider's Profile
| Full Name | Ms Marla M Madrid |
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| Gender | Female |
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| Speciality | Marriage & Family Therapist |
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| Location | 190 S 1st St, Bennett, Colorado |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1992046908
- Provider Enumeration Date: 03/15/2013
- Last Update Date: 01/22/2023
Medicare PECOS Information:
- PECOS PAC ID: 5193034536
- Enrollment ID: I20160208001108
Medical Identifiers
Medical identifiers for Ms Marla M Madrid such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1992046908 | NPI | - | NPPES |
| 51308266 | Medicaid | CO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | ACD0000719 (Colorado) | Secondary |
| 1041C0700X | Social Worker - Clinical | CSW00001915 (Colorado) | Secondary |
| 106H00000X | Marriage & Family Therapist | MFT0001999 (Colorado) | 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 Marla M Madrid allows following entities to bill medicare on her behalf.
| Entity Name | Comanche Crossing Counseling Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1710374640
PECOS PAC ID: 8820392137
Enrollment ID: O20160208000487 |
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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 Marla M Madrid 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 Marla M Madrid, MSW, LCSW, LAC, LMFT
190 S 1st St,
Bennett, CO 80102-7860
Ph: (303) 644-4240 | Ms Marla M Madrid, MSW, LCSW, LAC, LMFT
190 S 1st St,
Bennett, CO 80102-7860
Ph: (303) 644-4240 |
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