Mike Kemmerer, MFT in Hermosa Beach, CA - Medicare Marriage & Family Therapist Provider

Mike Kemmerer, MFT is a medicare enrolled "Marriage & Family Therapist" provider in Hermosa Beach, California. His current practice location is 710 Pier Ave, Office #11, Hermosa Beach, California. You can reach out to his office (for appointments etc.) via phone at (310) 922-9857.

Mike Kemmerer is licensed to practice in California (license number MFC49025) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1508051970.

Contact Information

	Mike Kemmerer, MFT
	710 Pier Ave, Office #11, Hermosa Beach, CA 90254-3940
	(310) 922-9857
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mike Kemmerer
Gender	Male
Speciality	Marriage & Family Therapist
Location	710 Pier Ave, Hermosa Beach, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508051970
Provider Enumeration Date: 09/10/2007
Last Update Date: 09/05/2012

Medicare PECOS Information:

PECOS PAC ID: 1850735879
Enrollment ID: I20240219000675

Medical Identifiers

Medical identifiers for Mike Kemmerer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508051970	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	MFC49025 (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. Mike Kemmerer allows following entities to bill medicare on his behalf.

Entity Name	Eb Psychotherapy, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699009753 PECOS PAC ID: 8527107705 Enrollment ID: O20091201000317

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. Mike Kemmerer 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
Mike Kemmerer, MFT Po Box 640, Manhattan Beach, CA 90267-0640 Ph: (310) 922-9857	Mike Kemmerer, MFT 710 Pier Ave, Office #11, Hermosa Beach, CA 90254-3940 Ph: (310) 922-9857

Reviews and Comments

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Mike Kemmerer, MFT - Medicare Couples Therapy in Hermosa Beach, CA