Trevor P Gjeltema, IMF in Sacramento, CA - Medicare Marriage & Family Therapist Provider

Trevor P Gjeltema, IMF is a medicare enrolled "Marriage & Family Therapist" provider in Sacramento, California. His current practice location is 1907 28th St Apt B, Sacramento, California. You can reach out to his office (for appointments etc.) via phone at (831) 234-4835.

Trevor P Gjeltema is licensed to practice in California (license number IMF 69063) 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 1265770101.

Contact Information

	Trevor P Gjeltema, IMF
	1907 28th St Apt B, Sacramento, CA 95816-7338
	(831) 234-4835
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Trevor P Gjeltema
Gender	Male
Speciality	Marriage & Family Therapist
Location	1907 28th St Apt B, Sacramento, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265770101
Provider Enumeration Date: 01/28/2013
Last Update Date: 02/11/2022

Medicare PECOS Information:

PECOS PAC ID: 5991148454
Enrollment ID: I20240212002982

Medical Identifiers

Medical identifiers for Trevor P Gjeltema such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265770101	NPI	-	NPPES
942519001	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	IMF 69063 (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. Trevor P Gjeltema 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. Trevor P Gjeltema 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
Trevor P Gjeltema, IMF 1907 28th St Apt B, Sacramento, CA 95816-7338 Ph: () -	Trevor P Gjeltema, IMF 1907 28th St Apt B, Sacramento, CA 95816-7338 Ph: (831) 234-4835

Reviews and Comments

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Trevor P Gjeltema, IMF - Medicare Couples Therapy in Sacramento, CA