Theresa Louise Cicchetto, MFT in Fairfield, CA - Medicare Marriage & Family Therapist Provider

Theresa Louise Cicchetto, MFT is a medicare enrolled "Marriage & Family Therapist" provider in Fairfield, California. Her current practice location is 1300 Oliver Rd, Suite 193, Fairfield, California. You can reach out to her office (for appointments etc.) via phone at (707) 514-5812.

Theresa Louise Cicchetto is licensed to practice in California (license number MFC 43693) 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 1134280092.

Contact Information

	Theresa Louise Cicchetto, MFT
	1300 Oliver Rd, Suite 193, Fairfield, CA 94534-3413
	(707) 514-5812
	(707) 422-3302

Map and Direction

Healthcare Provider's Profile

Full Name	Theresa Louise Cicchetto
Gender	Female
Speciality	Marriage & Family Therapist
Location	1300 Oliver Rd, Fairfield, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134280092
Provider Enumeration Date: 12/13/2006
Last Update Date: 08/29/2012

Medicare PECOS Information:

PECOS PAC ID: 9537506118
Enrollment ID: I20240318003623

Medical Identifiers

Medical identifiers for Theresa Louise Cicchetto such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134280092	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	MFC 43693 (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. Theresa Louise Cicchetto 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. Theresa Louise Cicchetto 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
Theresa Louise Cicchetto, MFT 1300 Oliver Rd, Suite 193, Fairfield, CA 94534 Ph: (707) 514-5812	Theresa Louise Cicchetto, MFT 1300 Oliver Rd, Suite 193, Fairfield, CA 94534-3413 Ph: (707) 514-5812

Reviews and Comments

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Theresa Louise Cicchetto, MFT - Medicare Couples Therapy in Fairfield, CA