Alyse Jeanne Laverne, LMFT in Fortuna, CA - Medicare Marriage & Family Therapist Provider

Alyse Jeanne Laverne, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Fortuna, California. Her current practice location is 3429 Renner Dr, Fortuna, California. You can reach out to her office (for appointments etc.) via phone at (707) 617-0323.

Alyse Jeanne Laverne is licensed to practice in California (license number AMFT114196) 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 1336762376.

Contact Information

	Alyse Jeanne Laverne, LMFT
	3429 Renner Dr, Fortuna, CA 95540-3104
	(707) 617-0323
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Alyse Jeanne Laverne
Gender	Female
Speciality	Marriage & Family Therapist
Location	3429 Renner Dr, Fortuna, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336762376
Provider Enumeration Date: 05/26/2020
Last Update Date: 01/10/2025

Medicare PECOS Information:

PECOS PAC ID: 4688026750
Enrollment ID: I20240115001148

Medical Identifiers

Medical identifiers for Alyse Jeanne Laverne such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336762376	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	AMFT114196 (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. Alyse Jeanne Laverne allows following entities to bill medicare on her behalf.

Entity Name	Humboldt Neurohealth Therapeutic Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710459292 PECOS PAC ID: 6709218589 Enrollment ID: O20191115002340

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. Alyse Jeanne Laverne 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
Alyse Jeanne Laverne, LMFT Po Box 282, Fortuna, CA 95540-0282 Ph: (707) 826-1086	Alyse Jeanne Laverne, LMFT 3429 Renner Dr, Fortuna, CA 95540-3104 Ph: (707) 617-0323

Reviews and Comments

Marriage & Family Therapist in Fortuna, CA

Rebecca Jernigan, MFT INTERN Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3000 Newburg Rd Ste D, Fortuna, CA 95540 Phone: 707-268-8722 Fax: 707-268-0218
Stefanie Ellen Anderson, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1432 Tompkins Hill Rd, Fortuna, CA 95540 Phone: 707-599-2972
Dr. Adriane St. Clare, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1100 Main St, Suite B, Fortuna, CA 95540 Phone: 707-725-9375 Fax: 707-725-9375
Ms. Barbara Nettles Anderson, MA Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 940 Main Street, Fortuna, CA 95540 Phone: 707-725-6864 Fax: 707-725-8088

Alyse Jeanne Laverne, LMFT - Medicare Couples Therapy in Fortuna, CA