Kelly Rae Axthelm, MFT in Oceanside, CA - Medicare Marriage & Family Therapist Provider

Kelly Rae Axthelm, MFT is a medicare enrolled "Marriage & Family Therapist" provider in Oceanside, California. Her current practice location is 321 Cassidy St, Oceanside, California. You can reach out to her office (for appointments etc.) via phone at (760) 721-2170.

Kelly Rae Axthelm is licensed to practice in * (Not Available) (license number ) 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 1710303862.

Contact Information

	Kelly Rae Axthelm, MFT
	321 Cassidy St, Oceanside, CA 92054-5314
	(760) 721-2170
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kelly Rae Axthelm
Gender	Female
Speciality	Marriage & Family Therapist
Location	321 Cassidy St, Oceanside, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710303862
Provider Enumeration Date: 03/13/2014
Last Update Date: 03/08/2024

Medicare PECOS Information:

PECOS PAC ID: 9931545647
Enrollment ID: I20240315001364

Medical Identifiers

Medical identifiers for Kelly Rae Axthelm such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710303862	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	(* (Not Available))	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 Rae Axthelm allows following entities to bill medicare on her behalf.

Entity Name	Tp-health Ca Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336785187 PECOS PAC ID: 9638592082 Enrollment ID: O20200702000624

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 Rae Axthelm 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 Rae Axthelm, MFT 321 Cassidy St, Oceanside, CA 92054-5314 Ph: (760) 721-2170	Kelly Rae Axthelm, MFT 321 Cassidy St, Oceanside, CA 92054-5314 Ph: (760) 721-2170

Reviews and Comments

Marriage & Family Therapist in Oceanside, CA

Katrina Harris, L.M.F.T. 97186 Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1423 Belmont Park Rd, Oceanside, CA 92057 Phone: 949-400-2182
Maritza Lopez, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3605 Vista Way, Suite 258, Oceanside, CA 92056 Phone: 760-758-1480
Amber Lee Riedel, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 321 Cassidy St, Oceanside, CA 92054 Phone: 760-721-2171
Pedro Benyamin Ostrosky Slomianski, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3605 Vista Way Ste 258, Oceanside, CA 92056 Phone: 760-758-1480
Ms. Danae M. Burgner, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 705 Pier View Way Ste A, Oceanside, CA 92054 Phone: 442-500-8200
Nissrine Habhab, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3605 Vista Way # 258, Oceanside, CA 92056 Phone: 760-758-1480
Sean Berkshire, AMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1738 S Tremont St, Oceanside, CA 92054 Phone: 280-076-0439

Kelly Rae Axthelm, MFT - Medicare Couples Therapy in Oceanside, CA