Jessica Gholson, MFT INTERN in Lake View Terrace, CA - Medicare Marriage & Family Therapist Provider

Jessica Gholson, MFT INTERN is a medicare enrolled "Marriage & Family Therapist" provider in Lake View Terrace, California. Her current practice location is 11600 Eldridge Ave, Lake View Terrace, California. You can reach out to her office (for appointments etc.) via phone at (818) 686-3000.

Jessica Gholson is licensed to practice in California (license number 48917) 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 1356466965.

Contact Information

	Jessica Gholson, MFT INTERN
	11600 Eldridge Ave, Lake View Terrace, CA 91342-6506
	(818) 686-3000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jessica Gholson
Gender	Female
Speciality	Marriage & Family Therapist
Location	11600 Eldridge Ave, Lake View Terrace, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356466965
Provider Enumeration Date: 03/20/2007
Last Update Date: 08/08/2007

Medicare PECOS Information:

PECOS PAC ID: 9638518376
Enrollment ID: I20240415002584

Medical Identifiers

Medical identifiers for Jessica Gholson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356466965	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	48917 (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. Jessica Gholson allows following entities to bill medicare on her behalf.

Entity Name	Pacific Clinics
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255496105 PECOS PAC ID: 4082008420 Enrollment ID: O20220228001926

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. Jessica Gholson 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
Jessica Gholson, MFT INTERN 636 Aerick St, Apt 3, Inglewood, CA 90301-1944 Ph: () -	Jessica Gholson, MFT INTERN 11600 Eldridge Ave, Lake View Terrace, CA 91342-6506 Ph: (818) 686-3000

Reviews and Comments

Marriage & Family Therapist in Lake View Terrace, CA

Mr. Pedram Moshfegh, MA Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 11600 Eldridge Ave, Lake View Terrace, CA 91342 Phone: 310-913-3292
James Monge, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 11600 Eldridge Avenue, Lake View Terrace, CA 91342 Phone: 818-686-3000
Althea Rowe, AMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 11600 Eldridge Ave, Lake View Terrace, CA 91342 Phone: 818-686-3000
Miss Lee Batya Yulzari, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 11600 Eldridge Ave, Lake View Terrace, CA 91342 Phone: 818-825-9324
Mr. Robert Manuel Jones, M.M., LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 11600 Eldridge Ave, Lake View Terrace, CA 91342 Phone: 818-686-3000 Fax: 818-896-4232
Christie Perkins, MFT INTERN Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 11600 Eldridge Ave, Lake View Terrace, CA 91342 Phone: 818-896-1121
Ms. Gale Raeteena Mccray-macon, MS, MFT INTERN Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 11600 Eldridge Ave, Lake View Terrace, CA 91342 Phone: 818-686-3000

Jessica Gholson, MFT INTERN - Medicare Couples Therapy in Lake View Terrace, CA