Miss Emmylou Chua Cancino, IMF in Sacramento, CA - Medicare Marriage & Family Therapist Provider

Miss Emmylou Chua Cancino, IMF is a medicare enrolled "Marriage & Family Therapist" provider in Sacramento, California. Her current practice location is 3815 Marconi Ave, Sacramento, California. You can reach out to her office (for appointments etc.) via phone at (707) 639-7498.

Miss Emmylou Chua Cancino is licensed to practice in California (license number 72930) 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 1164762241.

Contact Information

	Miss Emmylou Chua Cancino, IMF
	3815 Marconi Ave, Sacramento, CA 95821-3867
	(707) 639-7498
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Miss Emmylou Chua Cancino
Gender	Female
Speciality	Marriage & Family Therapist
Location	3815 Marconi Ave, Sacramento, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164762241
Provider Enumeration Date: 02/26/2013
Last Update Date: 03/05/2024

Medicare PECOS Information:

PECOS PAC ID: 1254777642
Enrollment ID: I20240307002227

Medical Identifiers

Medical identifiers for Miss Emmylou Chua Cancino such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164762241	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	72930 (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. Miss Emmylou Chua Cancino 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. Miss Emmylou Chua Cancino 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
Miss Emmylou Chua Cancino, IMF 3815 Marconi Ave, Sacramento, CA 95821-3867 Ph: () -	Miss Emmylou Chua Cancino, IMF 3815 Marconi Ave, Sacramento, CA 95821-3867 Ph: (707) 639-7498

Reviews and Comments

Marriage & Family Therapist in Sacramento, CA

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Ms. Asianya Jones, MFT, PCC Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3840 Rosin Ct Ste 100, Sacramento, CA 95834 Phone: 916-764-7015

Miss Emmylou Chua Cancino, IMF - Medicare Couples Therapy in Sacramento, CA