Mrs Raechele Kenyon-diaz, LMFT in Redding, CA

Mrs Raechele Kenyon-diaz, LMFT is a medicare enrolled "Counselor - Mental Health" provider in Redding, California. Her current practice location is 15200 La Paloma Way, Redding, California. You can reach out to her office (for appointments etc.) via phone at (530) 440-2135.

Mrs Raechele Kenyon-diaz is licensed to practice in California (license number 140052) 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 1477093672.

Contact Information

	Mrs Raechele Kenyon-diaz, LMFT
	15200 La Paloma Way, Redding, CA 96001-9525
	(530) 440-2135
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Raechele Kenyon-diaz
Gender	Female
Speciality	Counselor - Mental Health
Location	15200 La Paloma Way, Redding, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477093672
Provider Enumeration Date: 03/07/2017
Last Update Date: 10/23/2023

Medicare PECOS Information:

PECOS PAC ID: 7113365024
Enrollment ID: I20240410002414

Medical Identifiers

Medical identifiers for Mrs Raechele Kenyon-diaz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477093672	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	140052 (California)	Primary
164X00000X	Licensed Vocational Nurse	VN256371 (California)	Secondary

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 Raechele Kenyon-diaz allows following entities to bill medicare on her behalf.

Entity Name	Marin City Health And Wellness Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285804948 PECOS PAC ID: 1052451259 Enrollment ID: O20091221000011

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 Raechele Kenyon-diaz 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 Raechele Kenyon-diaz, LMFT 15200 La Paloma Way, Redding, CA 96001-9525 Ph: (530) 440-2135	Mrs Raechele Kenyon-diaz, LMFT 15200 La Paloma Way, Redding, CA 96001-9525 Ph: (530) 440-2135

Reviews and Comments

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Mrs Raechele Kenyon-diaz, LMFT - Medicare Counselor in Redding, CA