Jyoti Mallika Gustafson, LMFT in Santa Ana, CA - Medicare Marriage & Family Therapist Provider

Jyoti Mallika Gustafson, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Santa Ana, California. Her current practice location is 615 W Civic Center Dr Ste 200, Santa Ana, California. You can reach out to her office (for appointments etc.) via phone at (714) 795-3444.

Jyoti Mallika Gustafson is licensed to practice in California (license number 122101) 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 1700184124.

Contact Information

	Jyoti Mallika Gustafson, LMFT
	615 W Civic Center Dr Ste 200, Santa Ana, CA 92701-4052
	(714) 795-3444
	(714) 795-3445

Map and Direction

Healthcare Provider's Profile

Full Name	Jyoti Mallika Gustafson
Gender	Female
Speciality	Marriage & Family Therapist
Location	615 W Civic Center Dr Ste 200, Santa Ana, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700184124
Provider Enumeration Date: 03/09/2011
Last Update Date: 04/11/2023

Medicare PECOS Information:

PECOS PAC ID: 9830549724
Enrollment ID: I20231218004248

Medical Identifiers

Medical identifiers for Jyoti Mallika Gustafson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700184124	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	122101 (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. Jyoti Mallika Gustafson 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. Jyoti Mallika Gustafson 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
Jyoti Mallika Gustafson, LMFT 615 W Civic Center Dr Ste 200, Santa Ana, CA 92701-4052 Ph: (714) 795-3444	Jyoti Mallika Gustafson, LMFT 615 W Civic Center Dr Ste 200, Santa Ana, CA 92701-4052 Ph: (714) 795-3444

Reviews and Comments

Marriage & Family Therapist in Santa Ana, CA

Emily Wang, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 200 W Santa Ana Blvd Ste 801, Santa Ana, CA 92701 Phone: 714-704-5900 Fax: 714-978-3419
Mrs. Carrie Elaine Sciametta, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 9881 Deerhaven Dr, Santa Ana, CA 92705 Phone: 949-445-5169
Michelle Brieann Smith, MBA, MFTT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 405 W 5th St, Santa Ana, CA 92701 Phone: 800-914-4887
Ryan Yamamoto, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 501 N Golden Circle Dr Ste 100, Santa Ana, CA 92705 Phone: 714-543-0483
Denise Garcia, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2677 N Main St Ste 130, Santa Ana, CA 92705 Phone: 800-801-9833
Michael Alex Hoskins, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 401 W Civic Center Dr Ste 700, Santa Ana, CA 92701 Phone: 714-480-4689
Rosalba Acosta Howell, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 525 Cabrillo Park Dr, Santa Ana, CA 92701 Phone: 714-953-4455

Jyoti Mallika Gustafson, LMFT - Medicare Couples Therapy in Santa Ana, CA