Mr Enrique Alfredo Olivella Vives, MFT in Palo Alto, CA - Medicare Marriage & Family Therapist Provider

Mr Enrique Alfredo Olivella Vives, MFT is a medicare enrolled "Marriage & Family Therapist" provider in Palo Alto, California. His current practice location is 650 Clark Way, Palo Alto, California. You can reach out to his office (for appointments etc.) via phone at (650) 688-3626.

Mr Enrique Alfredo Olivella Vives is licensed to practice in California (license number MFC 50253) 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 1548309123.

Contact Information

	Mr Enrique Alfredo Olivella Vives, MFT
	650 Clark Way, Palo Alto, CA 94304-2300
	(650) 688-3626
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Enrique Alfredo Olivella Vives
Gender	Male
Speciality	Marriage & Family Therapist
Location	650 Clark Way, Palo Alto, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548309123
Provider Enumeration Date: 02/06/2007
Last Update Date: 02/11/2022

Medicare PECOS Information:

PECOS PAC ID: 1153774260
Enrollment ID: I20240125000312

Medical Identifiers

Medical identifiers for Mr Enrique Alfredo Olivella Vives such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548309123	NPI	-	NPPES
0	Other	CA	M.F.T TRAINEE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	MFC 50253 (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 Enrique Alfredo Olivella Vives 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 Enrique Alfredo Olivella Vives 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 Enrique Alfredo Olivella Vives, MFT 849 Divisadero St Apt 2, San Francisco, CA 94117-1515 Ph: (415) 571-3306	Mr Enrique Alfredo Olivella Vives, MFT 650 Clark Way, Palo Alto, CA 94304-2300 Ph: (650) 688-3626

Reviews and Comments

Marriage & Family Therapist in Palo Alto, CA

Carina Schlanger, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 555 Middlefield Rd, Palo Alto, CA 94301 Phone: 650-323-5457 Fax: 650-323-5457
Ms. Nina Marie Poletika, MFTI Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 375 Cambridge Ave, Palo Alto, CA 94306 Phone: 650-326-6576 Fax: 650-326-1340
Ms. Lori Helen Gortner, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 4153 El Camino Way Ste A, Palo Alto, CA 94306 Phone: 650-493-4932
Ms. Margaret Ann Rogers, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 4153 El Camino Way Ste A, Palo Alto, CA 94306 Phone: 650-493-4932
Ms. Diane Karen Robson-boris, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2060 Cornell St, Palo Alto, CA 94306 Phone: 650-561-3955
Mrs. Priscilla Ann Surdam, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 200 Channing Ave, Palo Alto, CA 94301 Phone: 650-688-3076
Ms. Cate Nelson, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 550 Hamilton Ave, Suite 210, Palo Alto, CA 94301 Phone: 650-324-1109

Mr Enrique Alfredo Olivella Vives, MFT - Medicare Couples Therapy in Palo Alto, CA