Mrs Juliet C Kinkade-black, MFTI, PCCI in Albuquerque, NM - Medicare Marriage & Family Therapist Provider

Mrs Juliet C Kinkade-black, MFTI, PCCI is a medicare enrolled "Marriage & Family Therapist" provider in Albuquerque, New Mexico. Her current practice location is 1709 Moon St Ne, Albuquerque, New Mexico. You can reach out to her office (for appointments etc.) via phone at (505) 271-0329.

Mrs Juliet C Kinkade-black is licensed to practice in New Mexico (license number 0181841) 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 1912253519.

Contact Information

	Mrs Juliet C Kinkade-black, MFTI, PCCI
	1709 Moon St Ne, Albuquerque, NM 87112-3935
	(505) 271-0329
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Juliet C Kinkade-black
Gender	Female
Speciality	Marriage & Family Therapist
Location	1709 Moon St Ne, Albuquerque, New Mexico
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912253519
Provider Enumeration Date: 08/01/2012
Last Update Date: 06/18/2024

Medicare PECOS Information:

PECOS PAC ID: 5294187092
Enrollment ID: I20240117002697

Medical Identifiers

Medical identifiers for Mrs Juliet C Kinkade-black such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912253519	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	IMF76250 (California)	Secondary
101YM0800X	Counselor - Mental Health	PCCI788 (California)	Secondary
106H00000X	Marriage & Family Therapist	0181841 (New Mexico)	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. Mrs Juliet C Kinkade-black allows following entities to bill medicare on her behalf.

Entity Name	Curated Therapy Solutions Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649055435 PECOS PAC ID: 7810348315 Enrollment ID: O20240109003537

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. Mrs Juliet C Kinkade-black 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
Mrs Juliet C Kinkade-black, MFTI, PCCI 1709 Moon St Ne, Albuquerque, NM 87112-3935 Ph: (505) 271-0329	Mrs Juliet C Kinkade-black, MFTI, PCCI 1709 Moon St Ne, Albuquerque, NM 87112-3935 Ph: (505) 271-0329

Reviews and Comments

Marriage & Family Therapist in Albuquerque, NM

Ms. Carol Sue Brusca, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 5601 Domingo Rd Ne, Albuquerque, NM 87108 Phone: 505-268-5295 Fax: 505-268-9967
Kate S. Godsey, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 1709 Moon St Ne, Albuquerque, NM 87112 Phone: 505-271-0329
Juan Edward Sanchez, Couples Therapy Medicare: Medicare Enrolled Practice Location: 9502 4th St Nw, Albuquerque, NM 87114 Phone: 505-250-3672
Mr. Paul Depetro, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 5124 Northern Trl Nw, Albuquerque, NM 87120 Phone: 505-681-0549
Ms. Marnie I Sadek, MA LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2741 Indian School Rd Ne, Albuquerque, NM 87106 Phone: 505-710-9299 Fax: 505-255-7890
Gautama Katzman, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2501 San Pedro Dr Ne, Suite 106, Albuquerque, NM 87110 Phone: 505-250-1600
Ms. Leah Joy Brouwers, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 707 Broadway Blvd Ne, Suite 103, Albuquerque, NM 87102 Phone: 505-766-9361 Fax: 505-766-9157

Mrs Juliet C Kinkade-black, MFTI, PCCI - Medicare Couples Therapy in Albuquerque, NM