Ms Ailsa Monique Long, LMFT in South Pasadena, CA - Medicare Marriage & Family Therapist Provider

Ms Ailsa Monique Long, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in South Pasadena, California. Her current practice location is 205 Pasadena Ave, South Pasadena, California. You can reach out to her office (for appointments etc.) via phone at (323) 383-6909.

Ms Ailsa Monique Long is licensed to practice in California (license number 40771) 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 1447382007.

Contact Information

	Ms Ailsa Monique Long, LMFT
	205 Pasadena Ave, South Pasadena, CA 91030-2919
	(323) 383-6909
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Ailsa Monique Long
Gender	Female
Speciality	Marriage & Family Therapist
Location	205 Pasadena Ave, South 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: 1447382007
Provider Enumeration Date: 03/09/2007
Last Update Date: 06/04/2009

Medicare PECOS Information:

PECOS PAC ID: 4981046513
Enrollment ID: I20240528001571

Medical Identifiers

Medical identifiers for Ms Ailsa Monique Long such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447382007	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	40771 (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. Ms Ailsa Monique Long allows following entities to bill medicare on her behalf.

Entity Name	Eb Psychotherapy, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699009753 PECOS PAC ID: 8527107705 Enrollment ID: O20091201000317

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. Ms Ailsa Monique Long 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
Ms Ailsa Monique Long, LMFT 205 Pasadena Ave, South Pasadena, CA 91030-2919 Ph: (949) 295-0353	Ms Ailsa Monique Long, LMFT 205 Pasadena Ave, South Pasadena, CA 91030-2919 Ph: (323) 383-6909

Reviews and Comments

Marriage & Family Therapist in South Pasadena, CA

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Mrs. Megan Lynn Murphy, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 205 Pasadena Ave, South Pasadena, CA 91030 Phone: 323-344-5536
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Ms. Erika Hirsch, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 625 Fair Oaks Ave, Suite 300, South Pasadena, CA 91030 Phone: 626-831-4441
Mr. Mark Anthony Acuna, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 205 Pasadena Ave, South Pasadena, CA 91030 Phone: 323-344-5536
Lindsey Schwartz, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 205 Pasadena Ave, South Pasadena, CA 91030 Phone: 323-344-5536
Diane Orozco, MFT-I Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 149 Pasadena Ave, South Pasadena, CA 91030 Phone: 323-274-3065

Ms Ailsa Monique Long, LMFT - Medicare Couples Therapy in South Pasadena, CA