Jackeelyn Mendoza, in Woodland Hills, CA - Medicare Marriage & Family Therapist Provider

Jackeelyn Mendoza, is a medicare enrolled "Marriage & Family Therapist" provider in Woodland Hills, California. Her current practice location is 6267 Variel Ave, Woodland Hills, California. You can reach out to her office (for appointments etc.) via phone at (818) 657-0411.

Jackeelyn Mendoza is licensed to practice in California (license number 125203) 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 1457853343.

Contact Information

	Jackeelyn Mendoza,
	6267 Variel Ave, Woodland Hills, CA 91367-2512
	(818) 657-0411
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jackeelyn Mendoza
Gender	Female
Speciality	Marriage & Family Therapist
Location	6267 Variel Ave, Woodland Hills, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457853343
Provider Enumeration Date: 03/06/2018
Last Update Date: 10/28/2024

Medicare PECOS Information:

PECOS PAC ID: 2961941224
Enrollment ID: I20240830000004

Medical Identifiers

Medical identifiers for Jackeelyn Mendoza such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457853343	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	125203 (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. Jackeelyn Mendoza allows following entities to bill medicare on her behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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. Jackeelyn Mendoza 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
Jackeelyn Mendoza, 279 E Arrow Hwy, San Dimas, CA 91773-3319 Ph: () -	Jackeelyn Mendoza, 6267 Variel Ave, Woodland Hills, CA 91367-2512 Ph: (818) 657-0411

Reviews and Comments

Marriage & Family Therapist in Woodland Hills, CA

Mr. Harlan Paul Dworsky, M.F.T. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 21208 Costanso St, #3, Woodland Hills, CA 91364 Phone: 818-346-5188
Alexander Aaron Escobar, MA Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: Po Box 416, Woodland Hills, CA 91365 Phone: 818-437-4508
Ms. Elizabeth Hobson, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 5654 Oakdale Ave, Woodland Hills, CA 91367 Phone: 818-585-5708
Mr. Daniel Besancon, MFT INTERN Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 4900 Serrania Ave, Woodland Hills, CA 91364 Phone: 818-657-3141 Fax: 818-347-1326
Delilah S Bakhaj, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 21243 Ventura Blvd Ste 126, Woodland Hills, CA 91364 Phone: 818-667-1053
Ashley B. Hurdle, M.A. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 20969 Ventura Blvd Ste 202, Woodland Hills, CA 91364 Phone: 310-906-0689
Alek Koundakjian, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 5550 Topanga Canyon Blvd Ste 150, Woodland Hills, CA 91367 Phone: 818-912-6001

Jackeelyn Mendoza, - Medicare Couples Therapy in Woodland Hills, CA