Dianne Haines Martin, in La Crescenta, CA - Medicare Marriage & Family Therapist Provider

Dianne Haines Martin, is a medicare enrolled "Marriage & Family Therapist" provider in La Crescenta, California. Her current practice location is 1 Mountain Oaks Park, La Crescenta, California. You can reach out to her office (for appointments etc.) via phone at (818) 425-2612.

Dianne Haines Martin is licensed to practice in California (license number LMFT128716) 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 1356121339.

Contact Information

	Dianne Haines Martin,
	1 Mountain Oaks Park, La Crescenta, CA 91214-3346
	(818) 425-2612
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dianne Haines Martin
Gender	Female
Speciality	Marriage & Family Therapist
Location	1 Mountain Oaks Park, La Crescenta, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356121339
Provider Enumeration Date: 10/05/2023
Last Update Date: 10/05/2023

Medicare PECOS Information:

PECOS PAC ID: 3274076021
Enrollment ID: I20240620003211

Medical Identifiers

Medical identifiers for Dianne Haines Martin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356121339	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	LMFT128716 (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. Dianne Haines Martin 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. Dianne Haines Martin 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
Dianne Haines Martin, 1 Mountain Oaks Park, La Crescenta, CA 91214-3346 Ph: (818) 425-2612	Dianne Haines Martin, 1 Mountain Oaks Park, La Crescenta, CA 91214-3346 Ph: (818) 425-2612

Reviews and Comments

Marriage & Family Therapist in La Crescenta, CA

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Dianne Haines Martin, - Medicare Couples Therapy in La Crescenta, CA