Erica Lauren Khamvongsa, in Riverside, CA - Medicare Marriage & Family Therapist Provider

Erica Lauren Khamvongsa, is a medicare enrolled "Marriage & Family Therapist" provider in Riverside, California. Her current practice location is 4033 Mt Vernon Ave, Riverside, California. You can reach out to her office (for appointments etc.) via phone at (951) 683-5193.

Erica Lauren Khamvongsa is licensed to practice in California (license number 132873) 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 1942705363.

Contact Information

	Erica Lauren Khamvongsa,
	4033 Mt Vernon Ave, Riverside, CA 92507-4805
	(951) 683-5193
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Erica Lauren Khamvongsa
Gender	Female
Speciality	Marriage & Family Therapist
Location	4033 Mt Vernon Ave, Riverside, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1942705363
Provider Enumeration Date: 03/27/2018
Last Update Date: 07/21/2024

Medicare PECOS Information:

PECOS PAC ID: 8224481718
Enrollment ID: I20240131004115

Medical Identifiers

Medical identifiers for Erica Lauren Khamvongsa such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942705363	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	(* (Not Available))	Secondary
106H00000X	Marriage & Family Therapist	132873 (California)	Primary
101Y00000X	Counselor	(* (Not Available))	Secondary
106H00000X	Marriage & Family Therapist	115654 (California)	Secondary

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. Erica Lauren Khamvongsa allows following entities to bill medicare on her behalf.

Entity Name	High Desert Psychological Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104463371 PECOS PAC ID: 2860819125 Enrollment ID: O20200901001503

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. Erica Lauren Khamvongsa 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
Erica Lauren Khamvongsa, Po Box 53075, Riverside, CA 92517-4075 Ph: (626) 217-3919	Erica Lauren Khamvongsa, 4033 Mt Vernon Ave, Riverside, CA 92507-4805 Ph: (951) 683-5193

Reviews and Comments

Marriage & Family Therapist in Riverside, CA

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Clara G Garcia, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 6711 Arlington Ave Ste A, Riverside, CA 92504 Phone: 951-352-3943
Ms. Cristina Margarita Zamora Garcia, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3499 10th St, Riverside, CA 92501 Phone: 951-358-4544
Ms. Aine M. Bergin, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 6800 Indiana Ave Ste 130, Riverside, CA 92506 Phone: 951-684-6684
Mr. Gregg W Starbuck, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3660 Park Sierra Dr Ste 109, Riverside, CA 92505 Phone: 951-743-5320

Erica Lauren Khamvongsa, - Medicare Couples Therapy in Riverside, CA