Jerica Hustead, in Manteca, CA - Medicare Marriage & Family Therapist Provider

Jerica Hustead, is a medicare enrolled "Marriage & Family Therapist" provider in Manteca, California. Her current practice location is 1789 W Yosemite Ave Bldg 1, Manteca, California. You can reach out to her office (for appointments etc.) via phone at (209) 858-7752.

Jerica Hustead is licensed to practice in California (license number LMFT103065) 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 1275013013.

Contact Information

	Jerica Hustead,
	1789 W Yosemite Ave Bldg 1, Manteca, CA 95337-5130
	(209) 858-7752
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jerica Hustead
Gender	Female
Speciality	Marriage & Family Therapist
Location	1789 W Yosemite Ave Bldg 1, Manteca, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275013013
Provider Enumeration Date: 08/21/2018
Last Update Date: 01/03/2022

Medicare PECOS Information:

PECOS PAC ID: 1052758323
Enrollment ID: I20240321003278

Medical Identifiers

Medical identifiers for Jerica Hustead such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275013013	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	LMFT103065 (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. Jerica Hustead allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Jerica Hustead 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
Jerica Hustead, 1789 W Yosemite Ave Bldg 1, Manteca, CA 95337-5130 Ph: () -	Jerica Hustead, 1789 W Yosemite Ave Bldg 1, Manteca, CA 95337-5130 Ph: (209) 858-7752

Reviews and Comments

Marriage & Family Therapist in Manteca, CA

Coral Boyle-day, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 302 Cherry Ln, Manteca, CA 95337 Phone: 209-647-6200
Ms. Cecilia Hobbie Pehle, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 965 E Yosemite Ave, Executive Plaza Suite 12, Manteca, CA 95336 Phone: 209-577-1159 Fax: 209-823-8189
Mrs. Tanya Reyes, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 955 W Center St Ste 2, Manteca, CA 95337 Phone: 209-645-0534 Fax: 209-800-5888
Jacquelyn Michelle Seefeldt, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 302 Cherry Ln, Suite 101, 201, & 208, Manteca, CA 95337 Phone: 209-689-8581
Raven Royal, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 129 E Center St Ste 3, Manteca, CA 95336 Phone: 209-239-5553
Meilissa J Estrada, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1441 Rosy Dawn Ln, Manteca, CA 95337 Phone: 209-207-4509
Girija Ramesh, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1266 Cotton Meadow Way, Manteca, CA 95336 Phone: 408-621-8430 Fax: 408-867-6060

Jerica Hustead, - Medicare Couples Therapy in Manteca, CA