Donna Gallegos, LMFT in San Fernando, CA - Medicare Marriage & Family Therapist Provider

Donna Gallegos, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in San Fernando, California. Her current practice location is 11133 Omelveny Ave, San Fernando, California. You can reach out to her office (for appointments etc.) via phone at (818) 365-7517.

Donna Gallegos is licensed to practice in California (license number MFC-52753) 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 1114266004.

Contact Information

	Donna Gallegos, LMFT
	11133 Omelveny Ave, San Fernando, CA 91340-4426
	(818) 365-7517
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Donna Gallegos
Gender	Female
Speciality	Marriage & Family Therapist
Location	11133 Omelveny Ave, San Fernando, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114266004
Provider Enumeration Date: 02/12/2013
Last Update Date: 02/12/2013

Medicare PECOS Information:

PECOS PAC ID: 0547607764
Enrollment ID: I20240325000575

Medical Identifiers

Medical identifiers for Donna Gallegos such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114266004	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	MFC-52753 (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. Donna Gallegos allows following entities to bill medicare on her behalf.

Entity Name	Northeast Valley Health Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629079009 PECOS PAC ID: 3173517323 Enrollment ID: O20040412001067

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. Donna Gallegos 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
Donna Gallegos, LMFT 14651 Kalisher St, San Fernando, CA 91340-4113 Ph: (818) 470-0286	Donna Gallegos, LMFT 11133 Omelveny Ave, San Fernando, CA 91340-4426 Ph: (818) 365-7517

Reviews and Comments

Marriage & Family Therapist in San Fernando, CA

Miss Irma Valencia, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 517 N Maclay Ave, San Fernando, CA 91340 Phone: 818-732-0430
Natalie Santoyo, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 11565 Laurel Canyon Blvd Unit 1, San Fernando, CA 91340 Phone: 818-361-5030
Jennifer Dawn Stevenson, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 11565 Laurel Canyon Blvd, #101, San Fernando, CA 91340 Phone: 818-472-9920
Regina M. Petrella, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 110 N Maclay Ave Ste 109, San Fernando, CA 91340 Phone: 310-962-4330 Fax: 310-454-9174
Daisy Melendez, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 566 S Brand Blvd, San Fernando, CA 91340 Phone: 818-898-0223
Miss Karina Robles, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 601 S Brand Blvd Ste 101, San Fernando, CA 91340 Phone: 818-898-9493
Valentina Regner Torrence, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 601 S Brand Blvd, San Fernando, CA 91340 Phone: 818-714-2275

Donna Gallegos, LMFT - Medicare Couples Therapy in San Fernando, CA