Mrs Candi Lynn Tubbs-davidson, in Modesto, CA - Medicare Marriage & Family Therapist Provider

Mrs Candi Lynn Tubbs-davidson, is a medicare enrolled "Marriage & Family Therapist" provider in Modesto, California. Her current practice location is 4701 Enterprise Way, Modesto, California. You can reach out to her office (for appointments etc.) via phone at (209) 550-6016.

Mrs Candi Lynn Tubbs-davidson is licensed to practice in California (license number MFC50464) 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 1346372075.

Contact Information

	Mrs Candi Lynn Tubbs-davidson,
	4701 Enterprise Way, Modesto, CA 95356-8715
	(209) 550-6016
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Candi Lynn Tubbs-davidson
Gender	Female
Speciality	Marriage & Family Therapist
Location	4701 Enterprise Way, Modesto, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1346372075
Provider Enumeration Date: 03/09/2007
Last Update Date: 01/11/2024

Medicare PECOS Information:

PECOS PAC ID: 1850744772
Enrollment ID: I20240126003459

Medical Identifiers

Medical identifiers for Mrs Candi Lynn Tubbs-davidson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346372075	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	MFC50464 (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. Mrs Candi Lynn Tubbs-davidson 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. Mrs Candi Lynn Tubbs-davidson 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
Mrs Candi Lynn Tubbs-davidson, 885 W 18th St, Merced, CA 95340-4604 Ph: (209) 726-3090	Mrs Candi Lynn Tubbs-davidson, 4701 Enterprise Way, Modesto, CA 95356-8715 Ph: (209) 550-6016

Reviews and Comments

Marriage & Family Therapist in Modesto, CA

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Mrs Candi Lynn Tubbs-davidson, - Medicare Couples Therapy in Modesto, CA