Ms Sally Belle Von Erffa, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Los Ranchos, New Mexico. Her current practice location is
7013 4th St Nw Ste C, Los Ranchos, New Mexico. You can reach out to her office (for appointments etc.) via phone at
(505) 356-2200.
Ms Sally Belle Von Erffa is licensed to practice in New Mexico (license number CMF0200791) 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 1265674154.
Healthcare Provider's Profile
Full Name | Ms Sally Belle Von Erffa |
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Gender | Female |
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Speciality | Marriage & Family Therapist |
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Location | 7013 4th St Nw Ste C, Los Ranchos, New Mexico |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1265674154
- Provider Enumeration Date: 03/24/2009
- Last Update Date: 12/14/2018
Medicare PECOS Information:
- PECOS PAC ID: 3971944596
- Enrollment ID: I20240514003447
Medical Identifiers
Medical identifiers for Ms Sally Belle Von Erffa such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1265674154 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 60533946 (Washington) | Secondary |
106H00000X | Marriage & Family Therapist | MFC# 47140 (California) | Secondary |
106H00000X | Marriage & Family Therapist | CMF0200791 (New Mexico) | 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 Sally Belle Von Erffa allows following entities to bill medicare on her behalf.
Entity Name | Revive Therapy Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1457822462 PECOS PAC ID: 0244671865 Enrollment ID: O20240514003123 |
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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 Sally Belle Von Erffa 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 Sally Belle Von Erffa, LMFT 376 Los Ranchos Rd Nw, Los Ranchos, NM 87107-6532 Ph: (505) 252-6797 | Ms Sally Belle Von Erffa, LMFT 7013 4th St Nw Ste C, Los Ranchos, NM 87107-6639 Ph: (505) 356-2200 |
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