Mr Alexander A Largaespada, LMFT in Stockton, CA - Medicare Marriage & Family Therapist Provider

Mr Alexander A Largaespada, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Stockton, California. His current practice location is 445 N San Joaquin St, Stockton, California. You can reach out to his office (for appointments etc.) via phone at (209) 430-3105.

Mr Alexander A Largaespada is licensed to practice in California (license number 125526) 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 1881902161.

Contact Information

	Mr Alexander A Largaespada, LMFT
	445 N San Joaquin St, Stockton, CA 95202-2026
	(209) 430-3105
	(209) 444-8905

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Alexander A Largaespada
Gender	Male
Speciality	Marriage & Family Therapist
Location	445 N San Joaquin St, Stockton, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1881902161
Provider Enumeration Date: 09/20/2010
Last Update Date: 04/28/2022

Medicare PECOS Information:

PECOS PAC ID: 0042656589
Enrollment ID: I20240307000309

Medical Identifiers

Medical identifiers for Mr Alexander A Largaespada such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881902161	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	125526 (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. Mr Alexander A Largaespada allows following entities to bill medicare on his 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. Mr Alexander A Largaespada 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
Mr Alexander A Largaespada, LMFT 445 N California St, Stockton, CA 95202-2130 Ph: (209) 444-8910	Mr Alexander A Largaespada, LMFT 445 N San Joaquin St, Stockton, CA 95202-2026 Ph: (209) 430-3105

Reviews and Comments

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Mr Alexander A Largaespada, LMFT - Medicare Couples Therapy in Stockton, CA