Miss Grizelli-shane Padamada, LPCC 9228 in La Mesa, CA

Miss Grizelli-shane Padamada, LPCC 9228 is a medicare enrolled "Counselor - Professional" provider in La Mesa, California. Her current practice location is 5706 Baltimore Dr Unit 375, La Mesa, California. You can reach out to her office (for appointments etc.) via phone at (619) 567-7399.

Miss Grizelli-shane Padamada is licensed to practice in California (license number LPCC9228) 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 1679965206.

Contact Information

	Miss Grizelli-shane Padamada, LPCC 9228
	5706 Baltimore Dr Unit 375, La Mesa, CA 91942-1685
	(619) 567-7399
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Miss Grizelli-shane Padamada
Gender	Female
Speciality	Counselor - Professional
Location	5706 Baltimore Dr Unit 375, La Mesa, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679965206
Provider Enumeration Date: 02/18/2015
Last Update Date: 08/29/2024

Medicare PECOS Information:

PECOS PAC ID: 2668913583
Enrollment ID: I20240919000358

Medical Identifiers

Medical identifiers for Miss Grizelli-shane Padamada such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679965206	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(California)	Secondary
101YP2500X	Counselor - Professional	LPCC9228 (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. Miss Grizelli-shane Padamada allows following entities to bill medicare on her behalf.

Entity Name	Fusion Care Group A Psychological Professional Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275177982 PECOS PAC ID: 8921433590 Enrollment ID: O20200109000932

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. Miss Grizelli-shane Padamada 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
Miss Grizelli-shane Padamada, LPCC 9228 5706 Baltimore Dr Unit 375, La Mesa, CA 91942-1685 Ph: (909) 831-5887	Miss Grizelli-shane Padamada, LPCC 9228 5706 Baltimore Dr Unit 375, La Mesa, CA 91942-1685 Ph: (619) 567-7399

Reviews and Comments

Counselor in La Mesa, CA

Jeremy Buttolph Robson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3845 Avocado School Rd, La Mesa, CA 91941 Phone: 619-588-3653
Sonia Peterson, PH.D. CRC LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8064 Allison Ave # 1563, La Mesa, CA 91942 Phone: 619-559-6646
Miss Vanessa Elayne Farrior I, ASW Counselor Medicare: Not Enrolled in Medicare Practice Location: 4990 Williams Ave, La Mesa, CA 91942 Phone: 619-668-4200 Fax: 619-698-1665
Ms. Helena B Wade, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 4700 Spring St, La Mesa, CA 91942 Phone: 619-591-5740
Brittany Nicole Hartman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4990 Williams Ave, La Mesa, CA 91942 Phone: 619-668-4200
Mr. Jose Armando Gomez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4990 Williams Ave, La Mesa, CA 91942 Phone: 619-668-4200
Jessica Alford, Counselor Medicare: Medicare Enrolled Practice Location: 4990 Williams Ave, La Mesa, CA 91942 Phone: 196-668-4200 Fax: 619-668-1665

Miss Grizelli-shane Padamada, LPCC 9228 - Medicare Counselor in La Mesa, CA