Alexus Broom, LMFT in Fairfield, CA - Medicare Marriage & Family Therapist Provider

Alexus Broom, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Fairfield, California. Her current practice location is 520 Chadbourne Rd, Fairfield, California. You can reach out to her office (for appointments etc.) via phone at (707) 366-3600.

Alexus Broom is licensed to practice in California (license number 138226) 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 1700357241.

Contact Information

	Alexus Broom, LMFT
	520 Chadbourne Rd, Fairfield, CA 94534-9656
	(707) 366-3600
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Alexus Broom
Gender	Female
Speciality	Marriage & Family Therapist
Location	520 Chadbourne Rd, Fairfield, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700357241
Provider Enumeration Date: 12/10/2018
Last Update Date: 09/22/2023

Medicare PECOS Information:

PECOS PAC ID: 8022550292
Enrollment ID: I20240604002162

Medical Identifiers

Medical identifiers for Alexus Broom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700357241	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	138226 (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. Alexus Broom allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Alexus Broom 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
Alexus Broom, LMFT Po Box 2984, Vacaville, CA 95696-2984 Ph: (707) 474-7667	Alexus Broom, LMFT 520 Chadbourne Rd, Fairfield, CA 94534-9656 Ph: (707) 366-3600

Reviews and Comments

Marriage & Family Therapist in Fairfield, CA

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Marco Antonio Sanchez, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 675 Texas St Ste 3800, Fairfield, CA 94533 Phone: 916-715-5930 Fax: 707-427-2784
Cyndi Carol Smit, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2101 Courage Dr, Fairfield, CA 94533 Phone: 707-784-2224
Ms. Melanie Dawn Cook, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2101 Courage Dr, Fairfield, CA 94533 Phone: 707-784-2152 Fax: 707-784-2269
Paul Severino Bright, MFT-I Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1771 Barton Dr, Fairfield, CA 94534 Phone: 707-648-8121

Alexus Broom, LMFT - Medicare Couples Therapy in Fairfield, CA