Amanda Breedlove, LMFT in San Diego, CA - Medicare Marriage & Family Therapist Provider

Amanda Breedlove, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in San Diego, California. Her current practice location is 1666 Precision Park Ln, San Diego, California. You can reach out to her office (for appointments etc.) via phone at (619) 662-4100.

Amanda Breedlove is licensed to practice in California (license number 139230) 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 1316487119.

Contact Information

	Amanda Breedlove, LMFT
	1666 Precision Park Ln, San Diego, CA 92173-1346
	(619) 662-4100
	(619) 600-4870

Map and Direction

Healthcare Provider's Profile

Full Name	Amanda Breedlove
Gender	Female
Speciality	Marriage & Family Therapist
Location	1666 Precision Park Ln, San Diego, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316487119
Provider Enumeration Date: 02/28/2017
Last Update Date: 08/28/2023

Medicare PECOS Information:

PECOS PAC ID: 8123470978
Enrollment ID: I20240117004374

Medical Identifiers

Medical identifiers for Amanda Breedlove such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316487119	NPI	-	NPPES
7100625550	Medicaid	KY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	259918 (Kentucky)	Secondary
106H00000X	Marriage & Family Therapist	139230 (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. Amanda Breedlove allows following entities to bill medicare on her behalf.

Entity Name	Centro De Salud De La Comunidad De San Ysidro, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124782685 PECOS PAC ID: 6901709435 Enrollment ID: O20040130000711

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. Amanda Breedlove 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
Amanda Breedlove, LMFT 1601 Precision Park Ln, San Diego, CA 92173-1345 Ph: (619) 662-4100	Amanda Breedlove, LMFT 1666 Precision Park Ln, San Diego, CA 92173-1346 Ph: (619) 662-4100

Reviews and Comments

Marriage & Family Therapist in San Diego, CA

Mrs. Veronica Yvette Ephraim, M.S. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1202 Morena Blvd Ste 300, San Diego, CA 92110 Phone: 619-398-3261 Fax: 619-275-2023
Dr. Brent Taylor, PH.D. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2423 Camino Del Rio S Ste 103, San Diego, CA 92108 Phone: 619-594-3871
Esmeralda Solorzano Christensen, MFT, LPCC Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 5100 Marlborough Dr, San Diego, CA 92116 Phone: 619-567-7399 Fax: 619-567-7399
Dr. Tiffany Juterbock Roberts, PSYD, LMFT 53905 Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 17140 Bernardo Center Dr, San Diego, CA 92128 Phone: 858-451-5190 Fax: 588-451-5199
Liane Fry, Couples Therapy Medicare: Medicare Enrolled Practice Location: 4311 3rd Ave, San Diego, CA 92103 Phone: 619-278-6516
Rosio Auger, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 7986 Dagget St, San Diego, CA 92111 Phone: 858-300-0460
Kirsten May Wimmer, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 11622 El Camino Real Ste 100, San Diego, CA 92130 Phone: 619-549-0329

Amanda Breedlove, LMFT - Medicare Couples Therapy in San Diego, CA