Mrs Amber Wilson, LMFT in Lathrop, CA - Medicare Marriage & Family Therapist Provider

Mrs Amber Wilson, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Lathrop, California. Her current practice location is 17000 S Harlan Rd, Lathrop, California. You can reach out to her office (for appointments etc.) via phone at (209) 647-7586.

Mrs Amber Wilson is licensed to practice in California (license number MFC 53252) 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 1679645089.

Contact Information

	Mrs Amber Wilson, LMFT
	17000 S Harlan Rd, Lathrop, CA 95330-8738
	(209) 647-7586
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Amber Wilson
Gender	Female
Speciality	Marriage & Family Therapist
Location	17000 S Harlan Rd, Lathrop, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679645089
Provider Enumeration Date: 11/14/2006
Last Update Date: 08/04/2023

Medicare PECOS Information:

PECOS PAC ID: 9830541895
Enrollment ID: I20240116002207

Medical Identifiers

Medical identifiers for Mrs Amber Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679645089	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	MFC 53252 (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 Amber Wilson 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 Amber Wilson 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 Amber Wilson, LMFT Po Box 577162, Modesto, CA 95357-7162 Ph: (209) 647-7586	Mrs Amber Wilson, LMFT 17000 S Harlan Rd, Lathrop, CA 95330-8738 Ph: (209) 647-7586

Reviews and Comments

Marriage & Family Therapist in Lathrop, CA

Ms. Vivian A Singleton, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 17000 S Harlan Rd, Lathrop, CA 95330 Phone: 209-647-7551 Fax: 209-647-7580
Mrs. Elysa M Correia, AMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 17000 S Harlan Rd, Lathrop, CA 95330 Phone: 209-647-7600
Kelsey Guidicatti, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 17000 S Harlan Rd, Lathrop, CA 95330 Phone: 209-647-7584
Mr. John Amos Burt, Couples Therapy Medicare: Medicare Enrolled Practice Location: 17000 S Harlan Rd, Lathrop, CA 95330 Phone: 209-647-7609
Ms. Julie Ann Williams, Couples Therapy Medicare: Medicare Enrolled Practice Location: 17000 S Harlan Rd, Lathrop, CA 95330 Phone: 209-647-7607

Mrs Amber Wilson, LMFT - Medicare Couples Therapy in Lathrop, CA