Brandi Nichols, LMFT in San Diego, CA - Medicare Marriage & Family Therapist Provider

Brandi Nichols, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in San Diego, California. Her current practice location is 12396 World Trade Dr Ste 204, San Diego, California. You can reach out to her office (for appointments etc.) via phone at (619) 858-3105.

Brandi Nichols is licensed to practice in California (license number 122625) 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 1346843638.

Contact Information

	Brandi Nichols, LMFT
	12396 World Trade Dr Ste 204, San Diego, CA 92128-3789
	(619) 858-3105
	(619) 280-5420

Map and Direction

Healthcare Provider's Profile

Full Name	Brandi Nichols
Gender	Female
Speciality	Marriage & Family Therapist
Location	12396 World Trade Dr Ste 204, 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: 1346843638
Provider Enumeration Date: 11/18/2020
Last Update Date: 12/21/2023

Medicare PECOS Information:

PECOS PAC ID: 5698117224
Enrollment ID: I20240613003879

Medical Identifiers

Medical identifiers for Brandi Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346843638	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	122625 (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. Brandi Nichols allows following entities to bill medicare on her behalf.

Entity Name	Hope For Healers
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184325326 PECOS PAC ID: 1052753688 Enrollment ID: O20240528001612

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. Brandi Nichols 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
Brandi Nichols, LMFT 711 Center Dr # 105-7037, San Marcos, CA 92069-3500 Ph: (619) 858-3105	Brandi Nichols, LMFT 12396 World Trade Dr Ste 204, San Diego, CA 92128-3789 Ph: (619) 858-3105

Reviews and Comments

Marriage & Family Therapist in San Diego, CA

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Brandi Nichols, LMFT - Medicare Couples Therapy in San Diego, CA