Jaqueline Diane Lara, in Anaheim, CA - Medicare Marriage & Family Therapist Provider

Jaqueline Diane Lara, is a medicare enrolled "Marriage & Family Therapist" provider in Anaheim, California. Her current practice location is 2026 W Beacon Ave, Anaheim, California. You can reach out to her office (for appointments etc.) via phone at (949) 426-3125.

Jaqueline Diane Lara is licensed to practice in California (license number 123749) 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 1356791859.

Contact Information

	Jaqueline Diane Lara,
	2026 W Beacon Ave, Anaheim, CA 92804-4406
	(949) 426-3125
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jaqueline Diane Lara
Gender	Female
Speciality	Marriage & Family Therapist
Location	2026 W Beacon Ave, Anaheim, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356791859
Provider Enumeration Date: 06/15/2016
Last Update Date: 07/19/2022

Medicare PECOS Information:

PECOS PAC ID: 8123479268
Enrollment ID: I20240112002277

Medical Identifiers

Medical identifiers for Jaqueline Diane Lara such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356791859	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	123749 (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. Jaqueline Diane Lara allows following entities to bill medicare on her behalf.

Entity Name	Telecare Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720164882 PECOS PAC ID: 6901820380 Enrollment ID: O20070614000167

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. Jaqueline Diane Lara 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
Jaqueline Diane Lara, 2026 W Beacon Ave, Anaheim, CA 92804-4406 Ph: (949) 426-3125	Jaqueline Diane Lara, 2026 W Beacon Ave, Anaheim, CA 92804-4406 Ph: (949) 426-3125

Reviews and Comments

Marriage & Family Therapist in Anaheim, CA

Asmeret Hagos, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2035 E Ball Rd Ste 100c, Anaheim, CA 92806 Phone: 714-517-6110
Ms. Aida Silva Viveros, MARRIAGE FAMILY THER Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2035 E Ball Rd Ste 100a, Anaheim, CA 92806 Phone: 714-517-6140 Fax: 714-517-6169
Valanda L German Ii, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 100 N Rob Way # 316, Anaheim, CA 92801 Phone: 714-699-8705
Donna K Duane, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 411 N Lakeview Ave, Anaheim, CA 92807 Phone: 888-988-2800 Fax: 626-405-6768
Mr. Richard Lawrence Cavin, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 324 E Broadway # F, Anaheim, CA 92805 Phone: 619-739-3854
Eric Burk, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2531 W Woodland Dr, Anaheim, CA 92801 Phone: 714-226-9888
Louis Pukil An, AMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2531 W Woodland Dr, Anaheim, CA 92801 Phone: 714-226-9888

Jaqueline Diane Lara, - Medicare Couples Therapy in Anaheim, CA