Ms Traci Alene Kettle, in Oxnard, CA - Medicare Counselor Provider

Ms Traci Alene Kettle, is a medicare enrolled "Counselor - Mental Health" provider in Oxnard, California. Her current practice location is 260 W 4th St, Oxnard, California. You can reach out to her office (for appointments etc.) via phone at (805) 486-9405.

Ms Traci Alene Kettle is licensed to practice in * (Not Available) (license number ) 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 1679622971.

Contact Information

	Ms Traci Alene Kettle,
	260 W 4th St, Oxnard, CA 93030-5908
	(805) 486-9405
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Traci Alene Kettle
Gender	Female
Speciality	Counselor - Mental Health
Location	260 W 4th St, Oxnard, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679622971
Provider Enumeration Date: 01/09/2007
Last Update Date: 04/08/2011

Medicare PECOS Information:

PECOS PAC ID: 2062857378
Enrollment ID: I20240227000710

Medical Identifiers

Medical identifiers for Ms Traci Alene Kettle such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679622971	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	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 Traci Alene Kettle allows following entities to bill medicare on her behalf.

Entity Name	Willow Sage Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538611652 PECOS PAC ID: 8527341007 Enrollment ID: O20170207001660

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 Traci Alene Kettle 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 Traci Alene Kettle, 5261 Goldenridge Ct, Camarillo, CA 93012-4129 Ph: (805) 312-4759	Ms Traci Alene Kettle, 260 W 4th St, Oxnard, CA 93030-5908 Ph: (805) 486-9405

Reviews and Comments

Counselor in Oxnard, CA

Debbie Garcia, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2697 Saviers Rd, Oxnard, CA 93033 Phone: 805-653-5045
Mrs. Shantara Kull, Counselor Medicare: Not Enrolled in Medicare Practice Location: 401 Danvers River Street, 318, Oxnard, CA 93036 Phone: 805-616-3059
Ms. Dale Ann Wagner, MFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1911 Williams Dr Ste 150, Oxnard, CA 93036 Phone: 805-981-8484
Deborah Rubright, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2055 Saviers Rd, Oxnard, CA 93033 Phone: 805-483-2253
Eva Salazar, Counselor Medicare: Not Enrolled in Medicare Practice Location: 314 W 4th St, Oxnard, CA 93030 Phone: 805-988-1112
Reylene Carmen Sanchez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2755 Yearling Place, Oxnard, CA 93036 Phone: 805-824-4411
Brian Joseph Adams, Counselor Medicare: Not Enrolled in Medicare Practice Location: 739 Raft Ln, Oxnard, CA 93035 Phone: 850-291-4123

Ms Traci Alene Kettle, - Medicare Counselor in Oxnard, CA