Rafael Forrett, in Hayward, CA - Medicare Marriage & Family Therapist Provider

Rafael Forrett, is a medicare enrolled "Marriage & Family Therapist" provider in Hayward, California. His current practice location is 22971 Sutro St, Hayward, California. You can reach out to his office (for appointments etc.) via phone at (510) 872-1042.

Rafael Forrett is licensed to practice in California (license number LMFT124564) 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 1942656533.

Contact Information

	Rafael Forrett,
	22971 Sutro St, Hayward, CA 94541-6507
	(510) 872-1042
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Rafael Forrett
Gender	Male
Speciality	Marriage & Family Therapist
Location	22971 Sutro St, Hayward, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1942656533
Provider Enumeration Date: 05/12/2016
Last Update Date: 03/23/2021

Medicare PECOS Information:

PECOS PAC ID: 7618328600
Enrollment ID: I20240103003323

Medical Identifiers

Medical identifiers for Rafael Forrett such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942656533	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	LMFT124564 (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. Rafael Forrett allows following entities to bill medicare on his 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. Rafael Forrett 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
Rafael Forrett, 22971 Sutro St, Hayward, CA 94541-6507 Ph: () -	Rafael Forrett, 22971 Sutro St, Hayward, CA 94541-6507 Ph: (510) 872-1042

Reviews and Comments

Marriage & Family Therapist in Hayward, CA

Ms. Valla Jean Dale, M.F.T. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 24301 Southland Dr, Suite 605b, Hayward, CA 94545 Phone: 510-757-7777
Maria Edward Mousa, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 26172 Regal Ave, Hayward, CA 94544 Phone: 949-836-5103
Ms. Tatum Danielle Stockard, M.S., MFT-INTERN, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 21455 Birch St Ste 201, Hayward, CA 94541 Phone: 510-583-0414 Fax: 510-583-0410
Mrs. Mary L. Triplett, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 25400 Hesperian Blvd, Hayward, CA 94545 Phone: 510-783-6629
Ms. Jill E Sardeson, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 225 W Winton Ave, Hayward, CA 94544 Phone: 510-324-2222
Sarah Ann King, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 21455 Birch St Ste 201, Hayward, CA 94541 Phone: 510-844-5370
Ms. Debbie A Green, MFC Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 22248 Main St, Hayward, CA 94541 Phone: 510-331-6393 Fax: 510-748-2339

Rafael Forrett, - Medicare Couples Therapy in Hayward, CA