Kelly M Niess, MFTI 58694 in Pacifica, CA - Medicare Marriage & Family Therapist Provider

Kelly M Niess, MFTI 58694 is a medicare enrolled "Marriage & Family Therapist" provider in Pacifica, California. Her current practice location is 480 Manor Plz, Pacifica, California. You can reach out to her office (for appointments etc.) via phone at (650) 355-8787.

Kelly M Niess is licensed to practice in California (license number MFTI 58694) 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 1942445887.

Contact Information

	Kelly M Niess, MFTI 58694
	480 Manor Plz, Pacifica, CA 94044-1839
	(650) 355-8787
	(650) 355-8780

Map and Direction

Healthcare Provider's Profile

Full Name	Kelly M Niess
Gender	Female
Speciality	Marriage & Family Therapist
Location	480 Manor Plz, Pacifica, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1942445887
Provider Enumeration Date: 12/05/2008
Last Update Date: 02/11/2022

Medicare PECOS Information:

PECOS PAC ID: 8426493982
Enrollment ID: I20240224000151

Medical Identifiers

Medical identifiers for Kelly M Niess such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942445887	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	MFTI 58694 (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. Kelly M Niess 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. Kelly M Niess 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
Kelly M Niess, MFTI 58694 480 Manor Plz, Pacifica, CA 94044-1839 Ph: (650) 355-8787	Kelly M Niess, MFTI 58694 480 Manor Plz, Pacifica, CA 94044-1839 Ph: (650) 355-8787

Reviews and Comments

Marriage & Family Therapist in Pacifica, CA

Ms. Julia Eleanor Sherman, MFTI Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 435 Edgemar Ave, Pacifica, CA 94044 Phone: 650-355-3900 Fax: 650-355-2850
Diane Custer, DIANE CUSTER Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 80 Eureka Sq, Suite 151, Pacifica, CA 94044 Phone: 650-245-1877
Sandra Carson, MFTI 65138 Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 480 Manor Plz, Pacifica, CA 94044 Phone: 650-355-8787
Ms. Emily Schwartz, MS Couples Therapy Medicare: Medicare Enrolled Practice Location: 480 Manor Plz, Pacifica, CA 94044 Phone: 650-355-8787
Leah Judith Chalofsky, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 480 Manor Plz, Pacifica, CA 94044 Phone: 650-355-8787
Mrs. Kathryn Denise Patt, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 435 Edgemar Ave, Pacifica, CA 94044 Phone: 650-877-8542
Elizabeth Fahrney Bashore, MA, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 80 Eureka Sq Ste 151, Pacifica, CA 94044 Phone: 415-680-5939

Kelly M Niess, MFTI 58694 - Medicare Couples Therapy in Pacifica, CA