Samantha Vigil, in San Mateo, CA - Medicare Marriage & Family Therapist Provider

Samantha Vigil, is a medicare enrolled "Marriage & Family Therapist" provider in San Mateo, California. Her current practice location is 2600 S El Camino Real Ste 200, San Mateo, California. You can reach out to her office (for appointments etc.) via phone at (650) 578-8691.

Samantha Vigil is licensed to practice in California (license number 117758) 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 1588212971.

Contact Information

	Samantha Vigil,
	2600 S El Camino Real Ste 200, San Mateo, CA 94403-2382
	(650) 578-8691
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Samantha Vigil
Gender	Female
Speciality	Marriage & Family Therapist
Location	2600 S El Camino Real Ste 200, San Mateo, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588212971
Provider Enumeration Date: 08/28/2019
Last Update Date: 07/31/2020

Medicare PECOS Information:

PECOS PAC ID: 9032554233
Enrollment ID: I20240227004451

Medical Identifiers

Medical identifiers for Samantha Vigil such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588212971	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
106H00000X	Marriage & Family Therapist	117758 (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. Samantha Vigil allows following entities to bill medicare on her behalf.

Entity Name	County Of San Mateo
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679642326 PECOS PAC ID: 9032023171 Enrollment ID: O20031126000292

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. Samantha Vigil 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
Samantha Vigil, 210 S Ellsworth Ave Unit 724, San Mateo, CA 94401-6008 Ph: () -	Samantha Vigil, 2600 S El Camino Real Ste 200, San Mateo, CA 94403-2382 Ph: (650) 578-8691

Reviews and Comments

Marriage & Family Therapist in San Mateo, CA

Elena Sharon Levin, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 150 W 20th Ave, San Mateo, CA 94403 Phone: 650-372-8569 Fax: 650-341-7389
Ms. Luz Denise Govea, M.A. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1670 S Amphlett Blvd Ste 115, San Mateo, CA 94402 Phone: 650-294-2812
Diana Moore, MA LMFT LPCC Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1510 Fashion Island Blvd, Suite 110, San Mateo, CA 94404 Phone: 650-906-3978 Fax: 650-570-4283
Clifford Reis, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 150 W 20th Ave, San Mateo, CA 94403 Phone: 650-372-8540 Fax: 650-522-9830
Mr. Marcos H. Chacon Jr., M.S. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 222 Paul Scannell Dr, San Mateo, CA 94402 Phone: 650-312-5368
Luke Wilkerson, M.S.M.F.T. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1510 Fashion Island Blvd, Suite 110, San Mateo, CA 94404 Phone: 619-365-9956
Ms. Nancy Grace Devaurs, MA, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1611 Borel Pl, Ste. 209, San Mateo, CA 94402 Phone: 650-571-7700 Fax: 650-571-7707

Samantha Vigil, - Medicare Couples Therapy in San Mateo, CA