Miracle January, in Ontario, CA - Medicare Marriage & Family Therapist Provider

Miracle January, is a medicare enrolled "Marriage & Family Therapist" provider in Ontario, California. Her current practice location is 3281 E Guasti Rd Ste 440, Ontario, California. You can reach out to her office (for appointments etc.) via phone at (909) 323-7100.

Miracle January is licensed to practice in California (license number 91868) 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 1316470263.

Contact Information

	Miracle January,
	3281 E Guasti Rd Ste 440, Ontario, CA 91761-7635
	(909) 323-7100
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Miracle January
Gender	Female
Speciality	Marriage & Family Therapist
Location	3281 E Guasti Rd Ste 440, Ontario, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316470263
Provider Enumeration Date: 04/07/2017
Last Update Date: 05/09/2024

Medicare PECOS Information:

PECOS PAC ID: 9931646353
Enrollment ID: I20240802002998

Medical Identifiers

Medical identifiers for Miracle January such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316470263	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	91868 (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. Miracle January allows following entities to bill medicare on her behalf.

Entity Name	Marsell Wellness Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700597036 PECOS PAC ID: 2961947015 Enrollment ID: O20240712001371

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. Miracle January 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
Miracle January, 16461 Cedar View Ln, Fontana, CA 92336-4740 Ph: (323) 408-1813	Miracle January, 3281 E Guasti Rd Ste 440, Ontario, CA 91761-7635 Ph: (909) 323-7100

Reviews and Comments

Marriage & Family Therapist in Ontario, CA

Mrs. Michele Ann Buyco, LMFT, PPSC Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 317 W F St, Ontario, CA 91762 Phone: 909-986-7111 Fax: 909-986-0941
Amber Laquita Portis, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1500 S Haven Ave Ste 250, Ontario, CA 91761 Phone: 909-749-5204 Fax: 909-217-3456
Jordyn Alexandria Hecker, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 855 N Euclid Ave, Ontario, CA 91762 Phone: 909-983-2020
Ms. Natividad Vasquez-silva, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 855 N Euclid Ave, Ontario, CA 91762 Phone: 909-983-2020 Fax: 909-983-6847
Roxana Guadalquivir, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 855 N Euclid Ave, Ontario, CA 91762 Phone: 909-983-2020 Fax: 909-983-6847
Amanda Nicole Arana, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3200 E Guasti Rd Ste 100, Ontario, CA 91761 Phone: 909-486-3228
Delores Picou, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3200 E Guasti Rd Ste 100, Ontario, CA 91761 Phone: 909-559-3462

Miracle January, - Medicare Couples Therapy in Ontario, CA