Kathleen Baniwas, LMFT is a medicare enrolled "Social Worker - Clinical" provider in Vista, California. She graduated from healthcare school in 2015 and has 11 years of diverse experience with area of expertise as Marriage And Family Therapist. She is a member of the group practice Southern California Permanente Medical Group and her current practice location is
780 Shadowridge Dr, Vista, California. You can reach out to her office (for appointments etc.) via phone at
(760) 599-2471.
Kathleen Baniwas is licensed to practice in California (license number 107813) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1710339650.
Healthcare Provider's Profile
| Full Name | Kathleen Baniwas |
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| Gender | Female |
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| Speciality | Marriage And Family Therapist |
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| Experience | 11 Years |
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| Location | 780 Shadowridge Dr, Vista, California |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Kathleen Baniwas graduated from medical school in 2015
NPI Data:
- NPI Number: 1710339650
- Provider Enumeration Date: 07/04/2016
- Last Update Date: 11/19/2021
Medicare PECOS Information:
- PECOS PAC ID: 6507306495
- Enrollment ID: I20240905004525
Medical Identifiers
Medical identifiers for Kathleen Baniwas such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1710339650 | NPI | - | NPPES |
| 95-2633765 | Other | CA | MEDI-CAL |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 106H00000X | Marriage & Family Therapist | IMF89556 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | 107813 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Southern California Permanente Medical Group | 6002729175 | 11244 |
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. Kathleen Baniwas allows following entities to bill medicare on her behalf.
| Entity Name | Southern California Permanente Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
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| Entity Name | Southern California Permanente Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
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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. Kathleen Baniwas 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 |
Kathleen Baniwas, LMFT 780 Shadowridge Dr, Vista, CA 92083-7986 Ph: (760) 599-2471 | Kathleen Baniwas, LMFT 780 Shadowridge Dr, Vista, CA 92083-7986 Ph: (760) 599-2471 |
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