Lacey M Chamblin, LMFT in Templeton, CA - Medicare Marriage & Family Therapist Provider

Lacey M Chamblin, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Templeton, California. Her current practice location is 1240 Shane Ln, Templeton, California. You can reach out to her office (for appointments etc.) via phone at (805) 610-9298.

Lacey M Chamblin is licensed to practice in California (license number LMFT97451) 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 1457583445.

Contact Information

	Lacey M Chamblin, LMFT
	1240 Shane Ln, Templeton, CA 93465-3614
	(805) 610-9298
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Lacey M Chamblin
Gender	Female
Speciality	Marriage & Family Therapist
Location	1240 Shane Ln, Templeton, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457583445
Provider Enumeration Date: 08/10/2009
Last Update Date: 06/08/2023

Medicare PECOS Information:

PECOS PAC ID: 0648790956
Enrollment ID: I20250217002574

Medical Identifiers

Medical identifiers for Lacey M Chamblin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457583445	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	LMFT97451 (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. Lacey M Chamblin allows following entities to bill medicare on her behalf.

Entity Name	Memory Check Psychological Services, A Professional Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912184219 PECOS PAC ID: 7416856422 Enrollment ID: O20040107001021

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. Lacey M Chamblin 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
Lacey M Chamblin, LMFT 1240 Shane Ln, Templeton, CA 93465-3614 Ph: (805) 610-9298	Lacey M Chamblin, LMFT 1240 Shane Ln, Templeton, CA 93465-3614 Ph: (805) 610-9298

Reviews and Comments

Marriage & Family Therapist in Templeton, CA

Elena Vladu, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 61 5th St, Templeton, CA 93465 Phone: 805-464-6102
Janine Claire Asante, MFTI Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 71 North Main Street, Templeton, CA 93465 Phone: 805-434-2449
Mrs. Liberty Michael Romig, L.M.F.T Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 318 Crocker Street, Templeton, CA 93465 Phone: 805-610-7444 Fax: 805-434-9474
Mr. Ronald Eugene Huxley Jr., Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 71 N. Main, Templeton, CA 93465 Phone: 805-434-2449 Fax: 805-434-3839
Ms. Sheila Ann Lassegard, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 200 S Main St, Suite A, Templeton, CA 93465 Phone: 805-462-4672 Fax: 805-462-3496
Joseph Ferndino, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2971 Homestead Rd, Templeton, CA 93465 Phone: 661-645-5102

Lacey M Chamblin, LMFT - Medicare Couples Therapy in Templeton, CA