Michael David Sally, LMFT in Redwood City, CA

Michael David Sally, LMFT is a medicare enrolled "Counselor - Mental Health" provider in Redwood City, California. His current practice location is 61 Renato Ct Ste 10, Redwood City, California. You can reach out to his office (for appointments etc.) via phone at (650) 568-7884.

Michael David Sally is licensed to practice in California (license number MFT30211) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1518270800.

Contact Information

	Michael David Sally, LMFT
	61 Renato Ct Ste 10, Redwood City, CA 94061-4016
	(650) 568-7884
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Michael David Sally
Gender	Male
Speciality	Counselor - Mental Health
Location	61 Renato Ct Ste 10, Redwood City, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518270800
Provider Enumeration Date: 07/15/2010
Last Update Date: 03/24/2023

Medicare PECOS Information:

PECOS PAC ID: 5799127585
Enrollment ID: I20240524001039

Medical Identifiers

Medical identifiers for Michael David Sally such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518270800	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	30211 (California)	Secondary
101YM0800X	Counselor - Mental Health	MFT30211 (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. Michael David Sally allows following entities to bill medicare on his behalf.

Entity Name	Grow Healthcare Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080

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. Michael David Sally 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
Michael David Sally, LMFT 61 Renato Ct Ste 10, Redwood City, CA 94061-4016 Ph: (650) 568-7884	Michael David Sally, LMFT 61 Renato Ct Ste 10, Redwood City, CA 94061-4016 Ph: (650) 568-7884

Reviews and Comments

Counselor in Redwood City, CA

Mrs. Sandra Feltner, MA MFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 165 Arch St, Redwood City, CA 94062 Phone: 650-363-0383 Fax: 650-363-0436
Mr. Remberto Calero Jr., Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 Edmonds Rd, Redwood City, CA 94062 Phone: 510-205-3664
Ms. Janelle Van Der Linde, Counselor Medicare: Not Enrolled in Medicare Practice Location: 609 Price Ave Ste 205, Redwood City, CA 94063 Phone: 650-591-9623
Rodney M Bratcher, Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 Edmonds Rd, Redwood City, CA 94062 Phone: 650-839-1810
Mrs. Maria Shipley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 695 5th Ave, Redwood City, CA 94063 Phone: 650-568-9006
Mrs. Darlene Cynthia Borden, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2686 Spring St, Redwood City, CA 94063 Phone: 650-368-3345
Ms. Denby Glenn Adamson, B.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 420 Cassia St, Redwood City, CA 94063 Phone: 650-363-8125

Michael David Sally, LMFT - Medicare Counselor in Redwood City, CA