Mr Jonathan Raymond Rackley, LMFT in Agoura Hills, CA - Medicare Marriage & Family Therapist Provider

Mr Jonathan Raymond Rackley, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Agoura Hills, California. His current practice location is 5012 Chesebro Rd Ste 200, Agoura Hills, California. You can reach out to his office (for appointments etc.) via phone at (925) 282-1778.

Mr Jonathan Raymond Rackley is licensed to practice in California (license number 129449) 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 1588324214.

Contact Information

	Mr Jonathan Raymond Rackley, LMFT
	5012 Chesebro Rd Ste 200, Agoura Hills, CA 91301-2287
	(925) 282-1778
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Jonathan Raymond Rackley
Gender	Male
Speciality	Marriage & Family Therapist
Location	5012 Chesebro Rd Ste 200, Agoura Hills, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588324214
Provider Enumeration Date: 12/21/2021
Last Update Date: 05/24/2024

Medicare PECOS Information:

PECOS PAC ID: 1052853645
Enrollment ID: I20240611002157

Medical Identifiers

Medical identifiers for Mr Jonathan Raymond Rackley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588324214	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	129449 (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 Jonathan Raymond Rackley allows following entities to bill medicare on his behalf.

Entity Name	Pacific Coast Psychiatric Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023125465 PECOS PAC ID: 2567469174 Enrollment ID: O20061024000383

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 Jonathan Raymond Rackley 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 Jonathan Raymond Rackley, LMFT 5012 Chesebro Rd Ste 200, Agoura Hills, CA 91301-2287 Ph: () -	Mr Jonathan Raymond Rackley, LMFT 5012 Chesebro Rd Ste 200, Agoura Hills, CA 91301-2287 Ph: (925) 282-1778

Reviews and Comments

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Mr Jonathan Raymond Rackley, LMFT - Medicare Couples Therapy in Agoura Hills, CA