Jennifer Anne Gordillo, in San Bernardino, CA - Medicare Marriage & Family Therapist Provider

Jennifer Anne Gordillo, is a medicare enrolled "Marriage & Family Therapist" provider in San Bernardino, California. Her current practice location is 325 W Hospitality Ln Ste 312, San Bernardino, California. You can reach out to her office (for appointments etc.) via phone at (866) 205-3595.

Jennifer Anne Gordillo is licensed to practice in California (license number IMF75155) 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 1023484292.

Contact Information

	Jennifer Anne Gordillo,
	325 W Hospitality Ln Ste 312, San Bernardino, CA 92408-3212
	(866) 205-3595
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jennifer Anne Gordillo
Gender	Female
Speciality	Marriage & Family Therapist
Location	325 W Hospitality Ln Ste 312, San Bernardino, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023484292
Provider Enumeration Date: 08/11/2015
Last Update Date: 12/28/2021

Medicare PECOS Information:

PECOS PAC ID: 6507207578
Enrollment ID: I20240508004148

Medical Identifiers

Medical identifiers for Jennifer Anne Gordillo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023484292	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	IMF75155 (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. Jennifer Anne Gordillo 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: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823

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. Jennifer Anne Gordillo 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
Jennifer Anne Gordillo, 325 W Hospitality Ln Ste 312, San Bernardino, CA 92408-3212 Ph: (866) 205-3595	Jennifer Anne Gordillo, 325 W Hospitality Ln Ste 312, San Bernardino, CA 92408-3212 Ph: (866) 205-3595

Reviews and Comments

Marriage & Family Therapist in San Bernardino, CA

Susan F Achuff, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 820 E Gilbert St, San Bernardino, CA 92415 Phone: 909-387-7200 Fax: 909-387-7717
Henry K. Chang, Couples Therapy Medicare: Medicare Enrolled Practice Location: 820 E Gilbert St, San Bernardino, CA 92415 Phone: 909-367-7200
Maria Angel-esparza, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 760 E Brier Dr, San Bernardino, CA 92408 Phone: 909-386-9584
Ms. Wandalyn Lane, MA Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1585 S D St, 101, San Bernardino, CA 92408 Phone: 909-388-2222 Fax: 909-388-2220
Mr. Stephen John Graves, M.S. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 820 E Gilbert St, San Bernardino County Dept. Of Behavioral Health, San Bernardino, CA 92415 Phone: 909-387-7769 Fax: 909-386-8520
Kimberly Quezada, M.S., LMFT 99748 Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 460 S Stoddard Ave Ste 1, San Bernardino, CA 92401 Phone: 909-882-7978
Jeanne Marie Sierra, MFTI Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 572 N Arrowhead Ave Ste 200, San Bernardino, CA 92401 Phone: 909-266-2700

Jennifer Anne Gordillo, - Medicare Couples Therapy in San Bernardino, CA