Ms Vicki Dawn Van Winkle, MFT in Cotati, CA - Medicare Counselor Provider

Ms Vicki Dawn Van Winkle, MFT is a medicare enrolled "Counselor - Mental Health" provider in Cotati, California. Her current practice location is 8297 Old Redwood Hwy, Cotati, California. You can reach out to her office (for appointments etc.) via phone at (707) 338-6177.

Ms Vicki Dawn Van Winkle is licensed to practice in California (license number MFT33478) 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 1932209913.

Contact Information

	Ms Vicki Dawn Van Winkle, MFT
	8297 Old Redwood Hwy, Cotati, CA 94931
	(707) 338-6177
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Vicki Dawn Van Winkle
Gender	Female
Speciality	Counselor - Mental Health
Location	8297 Old Redwood Hwy, Cotati, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1932209913
Provider Enumeration Date: 09/22/2006
Last Update Date: 02/14/2024

Medicare PECOS Information:

PECOS PAC ID: 9830629120
Enrollment ID: I20250217001647

Medical Identifiers

Medical identifiers for Ms Vicki Dawn Van Winkle such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932209913	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	MFC33478 (California)	Secondary
101YM0800X	Counselor - Mental Health	MFT33478 (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. Ms Vicki Dawn Van Winkle allows following entities to bill medicare on her behalf.

Entity Name	Sud Specialty Group - Ca
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972138238 PECOS PAC ID: 9537534177 Enrollment ID: O20230412001370

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. Ms Vicki Dawn Van Winkle 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
Ms Vicki Dawn Van Winkle, MFT 33 Davis Lane, Penngrove, CA 94951 Ph: (707) 338-6177	Ms Vicki Dawn Van Winkle, MFT 8297 Old Redwood Hwy, Cotati, CA 94931 Ph: (707) 338-6177

Reviews and Comments

Counselor in Cotati, CA

Alexa Phinney, BA PSYCHOLOGY Counselor Medicare: Not Enrolled in Medicare Practice Location: 420 E Cotati Ave, Cotati, CA 94931 Phone: 707-795-4336 Fax: 707-795-3306
Brittany Allison Richardson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 420 E Cotati Ave, Cotati, CA 94931 Phone: 707-795-4336
Janet Diva Lenci, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8808 Gravenstein Way, Cotati, CA 94931 Phone: 415-595-7531
Ashley Reich, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1075 Madrone Ave, Cotati, CA 94931 Phone: 707-792-4860
Jose Alexis Castillo-garcia, Counselor Medicare: Not Enrolled in Medicare Practice Location: 420 E Cotati Ave, Cotati, CA 94931 Phone: 707-795-4336
Raahul Anuj Shah, Counselor Medicare: Not Enrolled in Medicare Practice Location: 420 E Cotati Ave, Cotati, CA 94931 Phone: 707-795-4336
Etienne Domingo Ezeff, Counselor Medicare: Not Enrolled in Medicare Practice Location: 420 E Cotati Ave, Cotati, CA 94931 Phone: 707-795-4336

Ms Vicki Dawn Van Winkle, MFT - Medicare Counselor in Cotati, CA