Kathleen Scarlett Sullivan, MFT in Placerville, CA - Medicare Marriage And Family Therapist Provider

Kathleen Scarlett Sullivan, MFT is a medicare enrolled "Marriage & Family Therapist" provider in Placerville, California. She graduated from healthcare school in 2008 and has 18 years of diverse experience with area of expertise as Marriage And Family Therapist. She is a member of the group practice County Of Nevada and her current practice location is 4212 Missouri Flat Rd, Placerville, California. You can reach out to her office (for appointments etc.) via phone at (530) 621-7700.

Kathleen Scarlett Sullivan is licensed to practice in California (license number 49153) 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 1790938694.

Contact Information

	Kathleen Scarlett Sullivan, MFT
	4212 Missouri Flat Rd, Placerville, CA 95667-6269
	(530) 621-7700
	(530) 621-7713

Map and Direction

Healthcare Provider's Profile

Full Name	Kathleen Scarlett Sullivan
Gender	Female
Speciality	Marriage And Family Therapist
Experience	18 Years
Location	4212 Missouri Flat Rd, Placerville, California
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 Scarlett Sullivan graduated from medical school in 2008

NPI Data:

NPI Number: 1790938694
Provider Enumeration Date: 10/23/2008
Last Update Date: 01/23/2026

Medicare PECOS Information:

PECOS PAC ID: 4587194519
Enrollment ID: I20250206000851

Medical Identifiers

Medical identifiers for Kathleen Scarlett Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790938694	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	49153 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
County Of Nevada	3072402999	8

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 Scarlett Sullivan allows following entities to bill medicare on her behalf.

Entity Name	County Of Nevada
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982620399 PECOS PAC ID: 3072402999 Enrollment ID: O20040310001397

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 Scarlett Sullivan 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 Scarlett Sullivan, MFT Po Box 132, Cedar Ridge, CA 95924-0132 Ph: (530) 265-1720	Kathleen Scarlett Sullivan, MFT 4212 Missouri Flat Rd, Placerville, CA 95667-6269 Ph: (530) 621-7700

Reviews and Comments

Marriage & Family Therapist in Placerville, CA

Stephen J Branco, MFT INTERN Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2808 Mallard Ln, Suite A, Placerville, CA 95667 Phone: 530-621-5169 Fax: 530-295-2713
Melissa Gallagher, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 680 Placerville Dr., Suite A2, Placerville, CA 95667 Phone: 916-266-1418 Fax: 530-903-3434
Ms. Catherine Seleine Ciampa, LMFC Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 681 Main St, Suite 216, Placerville, CA 95667 Phone: 530-417-0493 Fax: 530-621-2637
Ms. Jamie Lynn Samboceti, M.A., MFTI Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 344 Placerville Dr, Suite 17, Placerville, CA 95667 Phone: 530-621-6290
Catherine Maria Underwood, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 550 Main St, Suite B1b, Placerville, CA 95667 Phone: 530-906-5836
Dee-anna R Bradley, PSY.D. Couples Therapy Medicare: Medicare Enrolled Practice Location: 319 Main St, Suite 5, Placerville, CA 95667 Phone: 530-391-9976
Ms. Margaret M Ray, MFTI Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2808 Mallard Lane, Ste C, Placerville, CA 95667 Phone: 530-621-7585 Fax: 530-295-2521

Kathleen Scarlett Sullivan, MFT - Medicare Couples Therapy in Placerville, CA