Mrs Guadalupe Solache, IMF 76504 in Gardena, CA - Medicare Marriage & Family Therapist Provider

Mrs Guadalupe Solache, IMF 76504 is a medicare enrolled "Marriage & Family Therapist" provider in Gardena, California. Her current practice location is 130 W Victoria St, Gardena, California. You can reach out to her office (for appointments etc.) via phone at (310) 715-2020.

Mrs Guadalupe Solache is licensed to practice in California (license number LMFT114987) 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 1114320173.

Contact Information

	Mrs Guadalupe Solache, IMF 76504
	130 W Victoria St, Gardena, CA 90248-3523
	(310) 715-2020
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Guadalupe Solache
Gender	Female
Speciality	Marriage & Family Therapist
Location	130 W Victoria St, Gardena, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114320173
Provider Enumeration Date: 10/06/2014
Last Update Date: 08/26/2019

Medicare PECOS Information:

PECOS PAC ID: 9335580737
Enrollment ID: I20240516001696

Medical Identifiers

Medical identifiers for Mrs Guadalupe Solache such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114320173	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	IMF 76504 (California)	Secondary
106H00000X	Marriage & Family Therapist	LMFT114987 (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 Guadalupe Solache allows following entities to bill medicare on her behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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 Guadalupe Solache 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 Guadalupe Solache, IMF 76504 130 W Victoria St, Gardena, CA 90248-3523 Ph: (310) 715-2020	Mrs Guadalupe Solache, IMF 76504 130 W Victoria St, Gardena, CA 90248-3523 Ph: (310) 715-2020

Reviews and Comments

Marriage & Family Therapist in Gardena, CA

Mrs. Iva Svetlikova, M.S. MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 108 W Victoria St, Gardena, CA 90248 Phone: 310-715-2020 Fax: 310-660-0494
Mrs. Sayo Matsuda, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 108 W Victoria St, Gardena, CA 90248 Phone: 424-757-4226
Mr. Khai Hoang Nguyen, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 108 W Victoria St, Gardena, CA 90248 Phone: 310-715-2020
Ms. Manuela Christine Siriaco, M.A. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 130 W Victoria St, Gardena, CA 90248 Phone: 310-715-2020
Edward Albert Del Hierro, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 108 W Victoria St, Gardena, CA 90248 Phone: 310-715-2020
Marissa Greenberg, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3333 W 152nd St, Gardena, CA 90249 Phone: 646-568-0047
Mrs. Rheannon Chavez, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 108 W Victoria St, Gardena, CA 90248 Phone: 310-715-2020

Mrs Guadalupe Solache, IMF 76504 - Medicare Couples Therapy in Gardena, CA