Dr Tanisha Fairgood, LMFT in Roseville, CA - Medicare Marriage & Family Therapist Provider

Dr Tanisha Fairgood, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Roseville, California. Her current practice location is 1624 Santa Clara Dr Ste 145, Roseville, California. You can reach out to her office (for appointments etc.) via phone at (916) 206-8548.

Dr Tanisha Fairgood is licensed to practice in California (license number 99693) 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 1275957359.

Contact Information

	Dr Tanisha Fairgood, LMFT
	1624 Santa Clara Dr Ste 145, Roseville, CA 95661-3500
	(916) 206-8548
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Tanisha Fairgood
Gender	Female
Speciality	Marriage & Family Therapist
Location	1624 Santa Clara Dr Ste 145, Roseville, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275957359
Provider Enumeration Date: 02/10/2014
Last Update Date: 02/11/2022

Medicare PECOS Information:

PECOS PAC ID: 0648615062
Enrollment ID: I20240226001272

Medical Identifiers

Medical identifiers for Dr Tanisha Fairgood such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275957359	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	IMF69306 (California)	Secondary
106H00000X	Marriage & Family Therapist	99693 (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. Dr Tanisha Fairgood allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Dr Tanisha Fairgood 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
Dr Tanisha Fairgood, LMFT 1624 Santa Clara Dr., Suite 145, Roseville, CA 95661 Ph: () -	Dr Tanisha Fairgood, LMFT 1624 Santa Clara Dr Ste 145, Roseville, CA 95661-3500 Ph: (916) 206-8548

Reviews and Comments

Marriage & Family Therapist in Roseville, CA

Rheana Patterson, AMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1430 Blue Oaks Blvd Ste 200, Roseville, CA 95747 Phone: 916-685-6833
Ms. Mell Elaine La Valley, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 416 Bonita St, Roseville, CA 95678 Phone: 916-719-2520
Mr. Talal H Alsaleem, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 915 Highland Pointe Dr, Suite 250, Roseville, CA 95678 Phone: 916-779-9939
Mr. Gavin John Williams, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1700 Eureka Rd Ste 155, Roseville, CA 95661 Phone: 916-995-2963 Fax: 916-848-0517
Hailey Palos, AMFT, APCC Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 5098 Foothills Blvd # 3-134, Roseville, CA 95747 Phone: 916-272-5025
Courtney Mickles, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2200 Douglas Blvd Ste 140b, Roseville, CA 95661 Phone: 720-272-7848
Naquiela Buckner I, CMA Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1780 Vernon St, Roseville, CA 95678 Phone: 916-782-1111

Dr Tanisha Fairgood, LMFT - Medicare Couples Therapy in Roseville, CA