Mrs Kalista R C Hickman, MFT in Vacaville, CA - Medicare Marriage & Family Therapist Provider

Mrs Kalista R C Hickman, MFT is a medicare enrolled "Marriage & Family Therapist" provider in Vacaville, California. Her current practice location is 1 Quality Dr, Vacaville, California. You can reach out to her office (for appointments etc.) via phone at (707) 624-4000.

Mrs Kalista R C Hickman is licensed to practice in California (license number MFC 42320) 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 1356405823.

Contact Information

	Mrs Kalista R C Hickman, MFT
	1 Quality Dr, Vacaville, CA 95688-9494
	(707) 624-4000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Kalista R C Hickman
Gender	Female
Speciality	Marriage & Family Therapist
Location	1 Quality Dr, Vacaville, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356405823
Provider Enumeration Date: 12/20/2006
Last Update Date: 01/03/2022

Medicare PECOS Information:

PECOS PAC ID: 5597115592
Enrollment ID: I20240102003948

Medical Identifiers

Medical identifiers for Mrs Kalista R C Hickman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356405823	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	MFC 42320 (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 Kalista R C Hickman 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 Kalista R C Hickman 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 Kalista R C Hickman, MFT 1 Quality Dr, Vacaville, CA 95688-9494 Ph: (707) 624-4000	Mrs Kalista R C Hickman, MFT 1 Quality Dr, Vacaville, CA 95688-9494 Ph: (707) 624-4000

Reviews and Comments

Marriage & Family Therapist in Vacaville, CA

Ms. Lisa Anne Clevenger, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 233 Dobbins St, Vacaville, CA 95688 Phone: 707-469-4540
Kathryn Veronica Tessmer, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3700 Vaca Valley Pkwy, Vacaville, CA 95688 Phone: 707-453-5921 Fax: 707-453-2993
Jean Allyson Garcia, MA, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1286 Callen Street, Vacaville, CA 95688 Phone: 707-447-8982
Miss Adra Marie Cummings, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 200 Prairie Ct # 1200, Vacaville, CA 95687 Phone: 916-572-1208
Sharon Marie Trevorrow, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 419 Mason St, Suite 201, Vacaville, CA 95688 Phone: 916-934-8162 Fax: 916-984-5697
Stephen R Smith, MFT-I, RAS Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1286 Callen St, Vacaville, CA 95688 Phone: 707-447-8982
Mrs. Michelle Ivonne Yokoyama, MFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 1 Quality Dr, Vacaville, CA 95688 Phone: 707-624-2850

Mrs Kalista R C Hickman, MFT - Medicare Couples Therapy in Vacaville, CA