Betty Avery, LMFT in Victorville, CA - Medicare Marriage & Family Therapist Provider

Betty Avery, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Victorville, California. Her current practice location is 12469 Kokomo Cir, Victorville, California. You can reach out to her office (for appointments etc.) via phone at (760) 503-5272.

Betty Avery is licensed to practice in California (license number 128189) 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 1417489733.

Contact Information

	Betty Avery, LMFT
	12469 Kokomo Cir, Victorville, CA 92392-7484
	(760) 503-5272
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Betty Avery
Gender	Female
Speciality	Marriage & Family Therapist
Location	12469 Kokomo Cir, Victorville, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417489733
Provider Enumeration Date: 03/28/2017
Last Update Date: 06/16/2025

Medicare PECOS Information:

PECOS PAC ID: 7618328030
Enrollment ID: I20240110003305

Medical Identifiers

Medical identifiers for Betty Avery such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417489733	NPI	-	NPPES
90-0996079	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	83124 (California)	Secondary
106H00000X	Marriage & Family Therapist	128189 (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. Betty Avery allows following entities to bill medicare on her behalf.

Entity Name	Providence Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346

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. Betty Avery 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
Betty Avery, LMFT Po Box 2566, Victorville, CA 92393-2566 Ph: (760) 503-5272	Betty Avery, LMFT 12469 Kokomo Cir, Victorville, CA 92392-7484 Ph: (760) 503-5272

Reviews and Comments

Marriage & Family Therapist in Victorville, CA

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Brittney Dawn Massie, M.A. LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 12240 Hesperia Rd Ste A, Victorville, CA 92395 Phone: 760-245-8837 Fax: 760-245-8854
Betty Ann Murphy, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 15437 Anacapa Rd Ste 26, Victorville, CA 92392 Phone: 760-685-4195

Betty Avery, LMFT - Medicare Couples Therapy in Victorville, CA