Mary Elizabeth Kavanaugh, MA in Santa Clara, CA - Medicare Marriage & Family Therapist Provider

Mary Elizabeth Kavanaugh, MA is a medicare enrolled "Marriage & Family Therapist" provider in Santa Clara, California. Her current practice location is 3840 Homestead Rd, Santa Clara, California. You can reach out to her office (for appointments etc.) via phone at (916) 955-6254.

Mary Elizabeth Kavanaugh is licensed to practice in California (license number 90282) 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 1558509547.

Contact Information

	Mary Elizabeth Kavanaugh, MA
	3840 Homestead Rd, Santa Clara, CA 95051-4542
	(916) 955-6254
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mary Elizabeth Kavanaugh
Gender	Female
Speciality	Marriage & Family Therapist
Location	3840 Homestead Rd, Santa Clara, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558509547
Provider Enumeration Date: 01/28/2009
Last Update Date: 02/11/2022

Medicare PECOS Information:

PECOS PAC ID: 7911350558
Enrollment ID: I20240130002752

Medical Identifiers

Medical identifiers for Mary Elizabeth Kavanaugh such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558509547	NPI	-	NPPES
90282	Other	CA	BOARD OF BEHAVIORAL SCIENCES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	90282 (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. Mary Elizabeth Kavanaugh allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Mary Elizabeth Kavanaugh 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
Mary Elizabeth Kavanaugh, MA 3840 Homestead Rd, Santa Clara, CA 95051-4542 Ph: (916) 955-6254	Mary Elizabeth Kavanaugh, MA 3840 Homestead Rd, Santa Clara, CA 95051-4542 Ph: (916) 955-6254

Reviews and Comments

Marriage & Family Therapist in Santa Clara, CA

Mrs. Deborah Marie Boucher-carter, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 5201 Great America Pkwy Ste 320, Santa Clara, CA 95054 Phone: 323-205-7088 Fax: 833-419-0181
Jason Nerio, Couples Therapy Medicare: Medicare Enrolled Practice Location: 5201 Great America Pkwy Ste 320, Santa Clara, CA 95054 Phone: 323-205-7088
Chuck Kaspar, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3140 De La Cruz Blvd, S200, Santa Clara, CA 95054 Phone: 408-988-1182 Fax: 408-970-4204
Ms. Taraneh Roosta, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 281 Woodhams Rd, Santa Clara, CA 95051 Phone: 408-966-5612
Lilian Garcia, MFC 85016 Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1588 Homestead Rd., Suite 7, Santa Clara, CA 95050 Phone: 650-690-2997 Fax: 888-925-2429
Gabrielle Mattson, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1588 Homestead Rd, Santa Clara, CA 95050 Phone: 408-689-8104
Geovana Scarlett Marquez, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1400 Coleman Ave Ste B13, Santa Clara, CA 95050 Phone: 650-618-9500

Mary Elizabeth Kavanaugh, MA - Medicare Couples Therapy in Santa Clara, CA