Kimberly Ann Medina, MFT in Dublin, CA - Medicare Marriage & Family Therapist Provider

Kimberly Ann Medina, MFT is a medicare enrolled "Marriage & Family Therapist" provider in Dublin, California. Her current practice location is 5325 Broder Blvd, Dublin, California. You can reach out to her office (for appointments etc.) via phone at (925) 551-6500.

Kimberly Ann Medina is licensed to practice in California (license number 45593) 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 1922568419.

Contact Information

	Kimberly Ann Medina, MFT
	5325 Broder Blvd, Dublin, CA 94568-3309
	(925) 551-6500
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kimberly Ann Medina
Gender	Female
Speciality	Marriage & Family Therapist
Location	5325 Broder Blvd, Dublin, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922568419
Provider Enumeration Date: 03/21/2019
Last Update Date: 02/11/2022

Medicare PECOS Information:

PECOS PAC ID: 9830535756
Enrollment ID: I20240313002380

Medical Identifiers

Medical identifiers for Kimberly Ann Medina such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922568419	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	45593 (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. Kimberly Ann Medina 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. Kimberly Ann Medina 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
Kimberly Ann Medina, MFT 5325 Broder Blvd, Dublin, CA 94568-3309 Ph: () -	Kimberly Ann Medina, MFT 5325 Broder Blvd, Dublin, CA 94568-3309 Ph: (925) 551-6500

Reviews and Comments

Marriage & Family Therapist in Dublin, CA

Maria Julia Rivas, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 11750 Dublin Blvd, Suite #200, Dublin, CA 94568 Phone: 925-280-8220 Fax: 925-280-8220
Ms. Jean Helen Loyd, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 11875 Dublin Blvd Ste D274, Dublin, CA 94568 Phone: 925-828-9249 Fax: 925-939-6131
Mrs. Janine Susan Laux-trautwein, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 11750 Dublin Blvd, Suite 200, Dublin, CA 94568 Phone: 510-610-2158 Fax: 925-456-6009
Svetlana Lesova, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 5325 Broder Blvd, Dublin, CA 94568 Phone: 925-551-5009
Mitchel Bise, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 11875 Dublin Blvd, Suite D265, Dublin, CA 94568 Phone: 925-829-6677 Fax: 510-353-1411
Katelyn Tsukamaki, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 5325 Broder Blvd, Dublin, CA 94568 Phone: 925-551-6905
Mr. Nicholas Ramirez, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 8633 Briarwood Ln, Dublin, CA 94568 Phone: 510-902-3030

Kimberly Ann Medina, MFT - Medicare Couples Therapy in Dublin, CA