Mary O'hern Matulich, in San Diego, CA - Medicare Marriage & Family Therapist Provider

Mary O'hern Matulich, is a medicare enrolled "Marriage & Family Therapist" provider in San Diego, California. Her current practice location is 402 W Broadway Ste 400, San Diego, California. You can reach out to her office (for appointments etc.) via phone at (866) 478-3978.

Mary O'hern Matulich is licensed to practice in California (license number LMFT121866) 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 1215477609.

Contact Information

	Mary O'hern Matulich,
	402 W Broadway Ste 400, San Diego, CA 92101-3554
	(866) 478-3978
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mary O'hern Matulich
Gender	Female
Speciality	Marriage & Family Therapist
Location	402 W Broadway Ste 400, San Diego, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215477609
Provider Enumeration Date: 03/03/2017
Last Update Date: 06/28/2024

Medicare PECOS Information:

PECOS PAC ID: 1850738477
Enrollment ID: I20240319001448

Medical Identifiers

Medical identifiers for Mary O'hern Matulich such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215477609	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	LMFT121866 (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. Mary O'hern Matulich allows following entities to bill medicare on her behalf.

Entity Name	Cyti Health Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679172290 PECOS PAC ID: 4587012950 Enrollment ID: O20231122002919

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. Mary O'hern Matulich 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
Mary O'hern Matulich, 402 W Broadway Ste 400, San Diego, CA 92101-3554 Ph: (866) 478-3978	Mary O'hern Matulich, 402 W Broadway Ste 400, San Diego, CA 92101-3554 Ph: (866) 478-3978

Reviews and Comments

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Mary O'hern Matulich, - Medicare Couples Therapy in San Diego, CA