Susan Ellen Kudlick, in Palmdale, CA - Medicare Marriage & Family Therapist Provider

Susan Ellen Kudlick, is a medicare enrolled "Marriage & Family Therapist" provider in Palmdale, California. Her current practice location is 1529 E Palmdale Blvd Ste 150, Palmdale, California. You can reach out to her office (for appointments etc.) via phone at (661) 575-1800.

Susan Ellen Kudlick is licensed to practice in California (license number MFC47881) 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 1528255874.

Contact Information

	Susan Ellen Kudlick,
	1529 E Palmdale Blvd Ste 150, Palmdale, CA 93550-2038
	(661) 575-1800
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Susan Ellen Kudlick
Gender	Female
Speciality	Marriage & Family Therapist
Location	1529 E Palmdale Blvd Ste 150, Palmdale, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1528255874
Provider Enumeration Date: 10/01/2007
Last Update Date: 08/16/2019

Medicare PECOS Information:

PECOS PAC ID: 8820440951
Enrollment ID: I20240114000164

Medical Identifiers

Medical identifiers for Susan Ellen Kudlick such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528255874	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	MFC47881 (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. Susan Ellen Kudlick allows following entities to bill medicare on her behalf.

Entity Name	Los Angeles County Department Of Mental Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083633929 PECOS PAC ID: 7416869896 Enrollment ID: O20031104000319

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. Susan Ellen Kudlick 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
Susan Ellen Kudlick, 44900 60th St. West, Rm 307, High Desert Health System, Lancaster, CA 93536 Ph: (661) 524-2493	Susan Ellen Kudlick, 1529 E Palmdale Blvd Ste 150, Palmdale, CA 93550-2038 Ph: (661) 575-1800

Reviews and Comments

Marriage & Family Therapist in Palmdale, CA

Mrs. Amanda Haddad, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2231 E Palmdale Blvd Ste K, Palmdale, CA 93550 Phone: 909-599-1227
Angela Coleman, M.S. Couples Therapy Medicare: Medicare Enrolled Practice Location: 37019 Pond Ave, Palmdale, CA 93550 Phone: 661-223-3813 Fax: 661-537-2937
Imuri Pacheco, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 40005 10th St W Ste 106, Palmdale, CA 93551 Phone: 661-265-8627
Daniah Hamouda, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 41916 Cabo Ct, Palmdale, CA 93551 Phone: 818-448-8851
Dr. Jane Denise Bock, PH.D., MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1529 East Palmdale Boulevard, Suite #210, Palmdale, CA 93550 Phone: 661-272-9996
Ms. Patricia M Welch, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 38733 9th St East, Ste O-#5, Palmdale, CA 93550 Phone: 661-947-4193 Fax: 661-949-6804
Robert Fragoso, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 190 Sierra Ct Ste C4, Palmdale, CA 93550 Phone: 661-418-9356

Susan Ellen Kudlick, - Medicare Couples Therapy in Palmdale, CA