Jesse Samson-jacob Bernal, MA, LMFT in Pasadena, CA - Medicare Marriage & Family Therapist Provider

Jesse Samson-jacob Bernal, MA, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Pasadena, California. His current practice location is 1712 Corson St, Pasadena, California. You can reach out to his office (for appointments etc.) via phone at (323) 326-8291.

Jesse Samson-jacob Bernal is licensed to practice in California (license number 84944) 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 1548565542.

Contact Information

	Jesse Samson-jacob Bernal, MA, LMFT
	1712 Corson St, Pasadena, CA 91106-1606
	(323) 326-8291
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jesse Samson-jacob Bernal
Gender	Male
Speciality	Marriage & Family Therapist
Location	1712 Corson St, Pasadena, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548565542
Provider Enumeration Date: 01/21/2011
Last Update Date: 10/24/2023

Medicare PECOS Information:

PECOS PAC ID: 3577907005
Enrollment ID: I20240222003763

Medical Identifiers

Medical identifiers for Jesse Samson-jacob Bernal such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548565542	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	84944 (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. Jesse Samson-jacob Bernal allows following entities to bill medicare on his behalf.

Entity Name	Soultenders Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164617007 PECOS PAC ID: 6507170453 Enrollment ID: O20150917001766

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. Jesse Samson-jacob Bernal 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
Jesse Samson-jacob Bernal, MA, LMFT Po Box 2212, Pasadena, CA 91102-2212 Ph: (323) 326-8291	Jesse Samson-jacob Bernal, MA, LMFT 1712 Corson St, Pasadena, CA 91106-1606 Ph: (323) 326-8291

Reviews and Comments

Marriage & Family Therapist in Pasadena, CA

Miss Lizeth Christine Fonseca, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3280 E Foothill Blvd, Pasadena, CA 91107 Phone: 626-583-3963
Ms. Elisabeth Cavin Eilers, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 446 S Marengo Ave, Suite B, Pasadena, CA 91101 Phone: 626-375-8140 Fax: 626-403-9333
Jennifer Beckwith, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 210 S De Lacey Ave, Pasadena, CA 91105 Phone: 626-395-7100
Ms. Katherine Marie Flores, M.S. MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 350 S Lake Ave, Suite 284b, Pasadena, CA 91101 Phone: 626-689-0459
Marni Muenzer, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 100 W Walnut St Ste 375, Pasadena, CA 91124 Phone: 626-395-7100
Christian Hernandez, MS Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 52 S Grand Oaks Ave, Pasadena, CA 91107 Phone: 323-420-1785
Aurelie Anne Marie Zephir, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2750 E Washington Blvd, Pasadena, CA 91107 Phone: 626-296-8900

Jesse Samson-jacob Bernal, MA, LMFT - Medicare Couples Therapy in Pasadena, CA