Daishea Poole, AMFT, APCC in Los Angeles, CA - Medicare Counselor Provider

Daishea Poole, AMFT, APCC is a medicare enrolled "Counselor - Mental Health" provider in Los Angeles, California. Her current practice location is 714 W Olympic Blvd Ste 627, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (951) 394-2255.

Daishea Poole is licensed to practice in California (license number AMFT116182) 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 1154998318.

Contact Information

	Daishea Poole, AMFT, APCC
	714 W Olympic Blvd Ste 627, Los Angeles, CA 90015-4135
	(951) 394-2255
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Daishea Poole
Gender	Female
Speciality	Counselor - Mental Health
Location	714 W Olympic Blvd Ste 627, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154998318
Provider Enumeration Date: 06/07/2021
Last Update Date: 06/07/2021

Medicare PECOS Information:

PECOS PAC ID: 2466801584
Enrollment ID: I20231213004229

Medical Identifiers

Medical identifiers for Daishea Poole such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154998318	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	AMFT116182 (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. Daishea Poole allows following entities to bill medicare on her behalf.

Entity Name	Mindful Lemon Marriage And Family Therapy Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487324463 PECOS PAC ID: 8921499096 Enrollment ID: O20211228000411

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. Daishea Poole 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
Daishea Poole, AMFT, APCC 3254 Cannes Ave, Riverside, CA 92501-1237 Ph: (951) 394-2255	Daishea Poole, AMFT, APCC 714 W Olympic Blvd Ste 627, Los Angeles, CA 90015-4135 Ph: (951) 394-2255

Reviews and Comments

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Daishea Poole, AMFT, APCC - Medicare Counselor in Los Angeles, CA