Mrs Ida Lucille Whitaker, in Escondido, CA - Medicare Marriage & Family Therapist Provider

Mrs Ida Lucille Whitaker, is a medicare enrolled "Marriage & Family Therapist" provider in Escondido, California. Her current practice location is 1002 E Grand Ave, Escondido, California. You can reach out to her office (for appointments etc.) via phone at (760) 741-2660.

Mrs Ida Lucille Whitaker is licensed to practice in California (license number 100567) 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 1962994038.

Contact Information

	Mrs Ida Lucille Whitaker,
	1002 E Grand Ave, Escondido, CA 92025-4605
	(760) 741-2660
	(760) 741-2647

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Ida Lucille Whitaker
Gender	Female
Speciality	Marriage & Family Therapist
Location	1002 E Grand Ave, Escondido, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962994038
Provider Enumeration Date: 06/04/2018
Last Update Date: 06/04/2018

Medicare PECOS Information:

PECOS PAC ID: 9234671389
Enrollment ID: I20240605000794

Medical Identifiers

Medical identifiers for Mrs Ida Lucille Whitaker such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962994038	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	100567 (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 Ida Lucille Whitaker allows following entities to bill medicare on her behalf.

Entity Name	Center For Mental Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144251885 PECOS PAC ID: 3072416676 Enrollment ID: O20040130000505

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 Ida Lucille Whitaker 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 Ida Lucille Whitaker, 615 Allison Ln, San Marcos, CA 92069-6516 Ph: (619) 454-0602	Mrs Ida Lucille Whitaker, 1002 E Grand Ave, Escondido, CA 92025-4605 Ph: (760) 741-2660

Reviews and Comments

Marriage & Family Therapist in Escondido, CA

Jennifer Leigh Leader, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 940 E Valley Pkwy, Suite D, Escondido, CA 92025 Phone: 760-300-3313
Cheuk Lam Billy Chan, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 474 W Vermont Ave, Escondido, CA 92025 Phone: 760-432-9884
Traci Parramore-chambers, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 17701 San Pasqual Valley Rd, Escondido, CA 92025 Phone: 760-741-4300
Ms. Rosemary Rodewald, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 101 N Broadway, Escondido, CA 92025 Phone: 760-519-0263 Fax: 760-729-9150
Ms. Pamela Mcgrath Dello, M.F.T. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 474 W Vermont Ave, Suite 101, Escondido, CA 92025 Phone: 760-480-2255 Fax: 760-741-6645
Richard Scott Turner, MA, LMFT 103007 Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 221 W Crest St Ste 102, Escondido, CA 92025 Phone: 760-489-4930
Yesenia Correa-lopez, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 490 N Grape St, Escondido, CA 92025 Phone: 609-759-9397

Mrs Ida Lucille Whitaker, - Medicare Couples Therapy in Escondido, CA