Carly Corritore, in Santa Rosa, CA - Medicare Marriage & Family Therapist Provider

Carly Corritore, is a medicare enrolled "Marriage & Family Therapist" provider in Santa Rosa, California. Her current practice location is 141 Stony Cir Ste 155, Santa Rosa, California. You can reach out to her office (for appointments etc.) via phone at (855) 501-1004.

Carly Corritore is licensed to practice in California (license number 149749) 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 1588278584.

Contact Information

	Carly Corritore,
	141 Stony Cir Ste 155, Santa Rosa, CA 95401-4172
	(855) 501-1004
	(707) 703-1632

Map and Direction

Healthcare Provider's Profile

Full Name	Carly Corritore
Gender	Female
Speciality	Marriage & Family Therapist
Location	141 Stony Cir Ste 155, Santa Rosa, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588278584
Provider Enumeration Date: 09/07/2020
Last Update Date: 11/12/2024

Medicare PECOS Information:

PECOS PAC ID: 6406370493
Enrollment ID: I20250411001235

Medical Identifiers

Medical identifiers for Carly Corritore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588278584	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	149749 (California)	Primary
106H00000X	Marriage & Family Therapist	(* (Not Available))	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	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. Carly Corritore allows following entities to bill medicare on her behalf.

Entity Name	Mark David Levine Md Professional Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154697944 PECOS PAC ID: 0143478305 Enrollment ID: O20120912000548

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. Carly Corritore 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
Carly Corritore, 3835 N Freeway Blvd Ste 100, Sacramento, CA 95834-1954 Ph: (916) 576-7900	Carly Corritore, 141 Stony Cir Ste 155, Santa Rosa, CA 95401-4172 Ph: (855) 501-1004

Reviews and Comments

Marriage & Family Therapist in Santa Rosa, CA

Laurie B. Stolmaker, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 95 Montgomery Dr, Ste 202, Santa Rosa, CA 95404 Phone: 707-523-2033 Fax: 707-539-6769
Dante Carlozzi, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 160 Wikiup Dr Ste 102, Santa Rosa, CA 95403 Phone: 510-317-1444
Nancy Maddox, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3333 Chanate Rd, Santa Rosa, CA 95404 Phone: 707-565-4939
Vicki L Wedegaertner, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1360 North Dutton Avenue, Suite C, Santa Rosa, CA 95401 Phone: 707-303-1532
Christine Dufond, Couples Therapy Medicare: Medicare Enrolled Practice Location: 4527 Montgomery Dr, Suite F, Santa Rosa, CA 95409 Phone: 707-483-8232
Erin Andersen, MA, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 865 3rd St Ste 202, Santa Rosa, CA 95404 Phone: 707-596-0494 Fax: 707-595-5765
Ms. Lorin Lin Tierney, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 320 10th St Ste 201, Santa Rosa, CA 95401 Phone: 916-505-5053

Carly Corritore, - Medicare Couples Therapy in Santa Rosa, CA