Mrs Nicole Ann Clelland, in Lake Forest, CA - Medicare Marriage & Family Therapist Provider

Mrs Nicole Ann Clelland, is a medicare enrolled "Marriage & Family Therapist" provider in Lake Forest, California. Her current practice location is 23832 Rockfield Blvd Ste 120, Lake Forest, California. You can reach out to her office (for appointments etc.) via phone at (949) 415-4489.

Mrs Nicole Ann Clelland is licensed to practice in California (license number 101251) 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 1730542382.

Contact Information

	Mrs Nicole Ann Clelland,
	23832 Rockfield Blvd Ste 120, Lake Forest, CA 92630-2870
	(949) 415-4489
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Nicole Ann Clelland
Gender	Female
Speciality	Marriage & Family Therapist
Location	23832 Rockfield Blvd Ste 120, Lake Forest, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730542382
Provider Enumeration Date: 03/31/2016
Last Update Date: 10/29/2018

Medicare PECOS Information:

PECOS PAC ID: 6507386315
Enrollment ID: I20250224003223

Medical Identifiers

Medical identifiers for Mrs Nicole Ann Clelland such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730542382	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	101251 (California)	Secondary
106H00000X	Marriage & Family Therapist	101251 (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. Mrs Nicole Ann Clelland allows following entities to bill medicare on her behalf.

Entity Name	Grow Healthcare Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080

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 Nicole Ann Clelland 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 Nicole Ann Clelland, 23832 Rockfield Blvd Ste 120, Lake Forest, CA 92630-2870 Ph: (949) 415-4489	Mrs Nicole Ann Clelland, 23832 Rockfield Blvd Ste 120, Lake Forest, CA 92630-2870 Ph: (949) 415-4489

Reviews and Comments

Marriage & Family Therapist in Lake Forest, CA

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Amir Mohsen Yahyavi, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 23331 El Toro Rd Ste 208, Lake Forest, CA 92630 Phone: 949-391-7790
Annika Marshall, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 35 Swift, Lake Forest, CA 92630 Phone: 435-640-9556
Sheryl Elizabeth Woodhouse, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 23832 Rockfield Blvd., Suite 120, Lake Forest, CA 92630 Phone: 949-212-6228 Fax: 714-373-4550

Mrs Nicole Ann Clelland, - Medicare Couples Therapy in Lake Forest, CA