Jon Alan Van Fossan, in Redding, CA - Medicare Marriage & Family Therapist Provider

Jon Alan Van Fossan, is a medicare enrolled "Marriage & Family Therapist" provider in Redding, California. His current practice location is 2640 Breslauer Way, Redding, California. You can reach out to his office (for appointments etc.) via phone at (530) 245-6416.

Jon Alan Van Fossan is licensed to practice in California (license number MFC 43861) 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 1811005432.

Contact Information

	Jon Alan Van Fossan,
	2640 Breslauer Way, Redding, CA 96001-4246
	(530) 245-6416
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jon Alan Van Fossan
Gender	Male
Speciality	Marriage & Family Therapist
Location	2640 Breslauer Way, Redding, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1811005432
Provider Enumeration Date: 08/25/2006
Last Update Date: 05/13/2024

Medicare PECOS Information:

PECOS PAC ID: 2466893979
Enrollment ID: I20240515002660

Medical Identifiers

Medical identifiers for Jon Alan Van Fossan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811005432	NPI	-	NPPES
106H00000X	Other	CA	MFT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	MFC 43861 (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. Jon Alan Van Fossan allows following entities to bill medicare on his behalf.

Entity Name	County Of Shasta
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881692390 PECOS PAC ID: 8820081581 Enrollment ID: O20040407000772

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. Jon Alan Van Fossan 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
Jon Alan Van Fossan, 18389 Utility Ave, Anderson, CA 96007-8423 Ph: (530) 241-0337	Jon Alan Van Fossan, 2640 Breslauer Way, Redding, CA 96001-4246 Ph: (530) 245-6416

Reviews and Comments

Marriage & Family Therapist in Redding, CA

Cherish Carlette Padro, MA, AMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 1201 Industrial St, Redding, CA 96002 Phone: 530-241-4115
Melissa Helbach, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3657 Ricardo Ave, Redding, CA 96002 Phone: 530-242-9007 Fax: 530-223-2027
Teri Watts, MFT INTERN Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2135 Pine St, Redding, CA 96001 Phone: 530-722-9957 Fax: 530-722-9294
Joshua Stine, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1170 Industrial St, Redding, CA 96002 Phone: 530-338-0330
Alexandria Marie Goebel, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2395 Bechelli Ln Ste B, Redding, CA 96002 Phone: 530-638-3811
Derek Williamson, AMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1170 Industrial St, Redding, CA 96002 Phone: 530-722-9957
Sandra A Wilson, MA Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3617 Ricardo, Redding, CA 96002 Phone: 530-605-9902

Jon Alan Van Fossan, - Medicare Couples Therapy in Redding, CA