Iyanna Stoudemire, in South Gate, CA - Medicare Counselor Provider

Iyanna Stoudemire, is a medicare enrolled "Counselor - Mental Health" provider in South Gate, California. Her current practice location is 4390 Tweedy Blvd, South Gate, California. You can reach out to her office (for appointments etc.) via phone at (310) 603-6949.

Iyanna Stoudemire is licensed to practice in California (license number 108949) 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 1568669422.

Contact Information

	Iyanna Stoudemire,
	4390 Tweedy Blvd, South Gate, CA 90280-6237
	(310) 603-6949
	(310) 603-6949

Map and Direction

Healthcare Provider's Profile

Full Name	Iyanna Stoudemire
Gender	Female
Speciality	Counselor - Mental Health
Location	4390 Tweedy Blvd, South Gate, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568669422
Provider Enumeration Date: 07/02/2007
Last Update Date: 05/10/2023

Medicare PECOS Information:

PECOS PAC ID: 7315466695
Enrollment ID: I20250529002557

Medical Identifiers

Medical identifiers for Iyanna Stoudemire such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568669422	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	69755 (California)	Secondary
101YM0800X	Counselor - Mental Health	108949 (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. Iyanna Stoudemire allows following entities to bill medicare on her behalf.

Entity Name	Forward Wellness Family Therapy Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093398059 PECOS PAC ID: 9739546144 Enrollment ID: O20230530002815

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. Iyanna Stoudemire 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
Iyanna Stoudemire, 1926 W 138th St, Compton, CA 90222-3128 Ph: (310) 493-1321	Iyanna Stoudemire, 4390 Tweedy Blvd, South Gate, CA 90280-6237 Ph: (310) 603-6949

Reviews and Comments

Counselor in South Gate, CA

Maria Gabriela Figueroa, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8959 S Gate Ave, South Gate, CA 90280 Phone: 424-603-7780
Elaina Grey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8921 California Ave, South Gate, CA 90280 Phone: 323-487-5002
Yasmin Dominguez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8919 California Ave, South Gate, CA 90280 Phone: 323-487-5126
Gabriela Torres, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4363 Tweedy Blvd, South Gate, CA 90280 Phone: 323-378-2009 Fax: 213-395-9592
Paula Torres, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4363 Tweedy Blvd, South Gate, CA 90280 Phone: 323-378-2009
Ms. Chantell Cuaron, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8919 California Ave, South Gate, CA 90280 Phone: 323-487-5126
Alma Delia Figueroa, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9637 California Ave, South Gate, CA 90280 Phone: 323-378-2006

Iyanna Stoudemire, - Medicare Counselor in South Gate, CA