Erica De Guzman, MS CCC-SLP in San Rafael, CA - Medicare Speech-Language Pathologist Provider

Erica De Guzman, MS CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in San Rafael, California. Her current practice location is 1600 Los Gamos Dr, San Rafael, California. You can reach out to her office (for appointments etc.) via phone at (415) 444-4013.

Erica De Guzman is licensed to practice in California (license number 29810) 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 1023614799.

Contact Information

	Erica De Guzman, MS CCC-SLP
	1600 Los Gamos Dr, San Rafael, CA 94903-1806
	(415) 444-4013
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Erica De Guzman
Gender	Female
Speciality	Speech-language Pathologist
Location	1600 Los Gamos Dr, San Rafael, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023614799
Provider Enumeration Date: 12/08/2020
Last Update Date: 06/16/2022

Medicare PECOS Information:

PECOS PAC ID: 5698156289
Enrollment ID: I20220713002770

Medical Identifiers

Medical identifiers for Erica De Guzman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023614799	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	29810 (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. Erica De Guzman allows following entities to bill medicare on her behalf.

Provider Name	Permanente Medical Group Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider 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. Erica De Guzman 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
Erica De Guzman, MS CCC-SLP 440 Summer Ln, Richmond, CA 94806-1982 Ph: (408) 209-3786	Erica De Guzman, MS CCC-SLP 1600 Los Gamos Dr, San Rafael, CA 94903-1806 Ph: (415) 444-4013

Reviews and Comments

Speech-Language Pathologist in San Rafael, CA

Mrs. Jennifer Kate Moore, CCC SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 99 Montecillo Rd, San Rafael, CA 94903 Phone: 415-889-3833
Kathleen O'hara Hemlock, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 122 Paul Dr, Suite A, San Rafael, CA 94903 Phone: 415-577-4210
Hannah Mcneill, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 317 D St, San Rafael, CA 94901 Phone: 415-377-6533
Bianca Lana Havel, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 232 Santa Margarita, San Rafael, CA 94901 Phone: 415-454-6340
Elizabeth Seagrave, M.S. CCC-SLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 2400 Las Gallinas Ave, Ste 135a, San Rafael, CA 94903 Phone: 415-326-3315 Fax: 855-975-3010
Anne Mathew, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1600 Los Gamos Dr, San Rafael, CA 94903 Phone: 415-444-7400

Erica De Guzman, MS CCC-SLP - Medicare Speech-Language Pathologist in San Rafael, CA