James Santana, - Medicare Couples Therapy in Wilmington, DE

James Santana, is a medicare enrolled "Marriage & Family Therapist" provider in Wilmington, Delaware. His current practice location is 811 Brandywine Blvd, Wilmington, Delaware. You can reach out to his office (for appointments etc.) via phone at (302) 281-4719.

James Santana is licensed to practice in Delaware (license number FT-0010079) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1295497865.

Contact Information

James Santana,
811 Brandywine Blvd,
Wilmington, DE 19809-2961
(302) 281-4719
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameJames Santana
GenderMale
SpecialityMarriage & Family Therapist
Location811 Brandywine Blvd, Wilmington, Delaware
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1295497865
  • Provider Enumeration Date: 10/11/2021
  • Last Update Date: 06/13/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5294269106
  • Enrollment ID: I20241114004198

Medical Identifiers

Medical identifiers for James Santana such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295497865NPI-NPPES
870846562MedicaidDE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
106H00000XMarriage & Family Therapist FT-0010079 (Delaware)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. James Santana allows following entities to bill medicare on his behalf.
Entity NameHigher Expectations Individual & Family Counseling
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497578801
PECOS PAC ID: 4385178292
Enrollment ID: O20241114004106

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. James Santana 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 AddressPractice Location Address
James Santana,
116 Wren Way,
Newark, DE 19711-8330

Ph: (302) 357-7727
James Santana,
811 Brandywine Blvd,
Wilmington, DE 19809-2961

Ph: (302) 281-4719

Reviews and Comments


Marriage & Family Therapist in Wilmington, DE

Annalise Maull,
Couples Therapy
Medicare: Not Enrolled in Medicare
Practice Location: 1009 Piper Rd, Wilmington, DE 19803
Phone: 302-893-7583    
Cheryl R. Wagner, LMFT
Couples Therapy
Medicare: Medicare Enrolled
Practice Location: 4420 Limestone Rd Ste 307, Wilmington, DE 19808
Phone: 302-224-1400    Fax: 302-224-1402
Kimberly Samson,
Couples Therapy
Medicare: Not Enrolled in Medicare
Practice Location: 1812 Newport Gap Pike, Wilmington, DE 19808
Phone: 302-999-1106    Fax: 302-999-1753
Daniel D Cherneski, LMFT
Couples Therapy
Medicare: Medicare Enrolled
Practice Location: 405 Foulk Rd, Wilmington, DE 19803
Phone: 302-722-5470    
Paul Kerans Nowak,
Couples Therapy
Medicare: Not Enrolled in Medicare
Practice Location: 5424 Crestline Rd, Wilmington, DE 19808
Phone: 609-202-0100    
Mr. Allie F. Miller, L.M.F.T.
Couples Therapy
Medicare: Not Enrolled in Medicare
Practice Location: 19b Trolley Sq, Wilmington, DE 19806
Phone: 302-287-3443    Fax: 866-238-3938

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.