Jennifer Portillo, in La Habra, CA - Medicare Marriage & Family Therapist Provider

Jennifer Portillo, is a medicare enrolled "Marriage & Family Therapist" provider in La Habra, California. Her current practice location is 601 E Imperial Hwy, La Habra, California. You can reach out to her office (for appointments etc.) via phone at (714) 644-6480.

Jennifer Portillo is licensed to practice in California (license number 99515) 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 1891264891.

Contact Information

	Jennifer Portillo,
	601 E Imperial Hwy, La Habra, CA 90631-7463
	(714) 644-6480
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jennifer Portillo
Gender	Female
Speciality	Marriage & Family Therapist
Location	601 E Imperial Hwy, La Habra, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1891264891
Provider Enumeration Date: 11/19/2018
Last Update Date: 10/28/2022

Medicare PECOS Information:

PECOS PAC ID: 7012456353
Enrollment ID: I20240829003983

Medical Identifiers

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

Identifier	Type	State	Issuer
1891264891	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	99515 (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 Portillo 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. Jennifer Portillo 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 Portillo, 601 E Imperial Hwy, La Habra, CA 90631-7463 Ph: (714) 644-6480	Jennifer Portillo, 601 E Imperial Hwy, La Habra, CA 90631-7463 Ph: (714) 644-6480

Reviews and Comments

Marriage & Family Therapist in La Habra, CA

Dr. Crystal Sanchez, PSYD, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 201 S. Harbor Blvd, La Habra, CA 90631 Phone: 562-264-6000
Kristen I Garubba, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1171 Cheri Dr, La Habra, CA 90631 Phone: 562-245-7282 Fax: 562-697-8274
Ms. Gizelle Mar Vazquez, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 341 Hillcrest St, La Habra, CA 90631 Phone: 562-691-3263 Fax: 562-690-5063
Jacquelyn Christensen, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 300 S Beach Blvd, Ste 1, La Habra, CA 90631 Phone: 763-607-0300
Ana Rosa Balarezo, Couples Therapy Medicare: Medicare Enrolled Practice Location: 300 S Beach Blvd Ste I, La Habra, CA 90631 Phone: 562-631-9852
Khanh Ngoc Bao Hua, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 601 E Imperial Hwy, La Habra, CA 90631 Phone: 714-644-6480
Natalie Gowern, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 601 E Imperial Hwy, La Habra, CA 90631 Phone: 714-644-6480

Jennifer Portillo, - Medicare Couples Therapy in La Habra, CA