Miss Emily Nicole Glickman, in Oak Park, CA - Medicare Marriage & Family Therapist Provider

Miss Emily Nicole Glickman, is a medicare enrolled "Marriage & Family Therapist" provider in Oak Park, California. Her current practice location is 6259 Smoke Tree Ave, Oak Park, California. You can reach out to her office (for appointments etc.) via phone at (818) 268-2170.

Miss Emily Nicole Glickman is licensed to practice in California (license number 114279) 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 1306235809.

Contact Information

	Miss Emily Nicole Glickman,
	6259 Smoke Tree Ave, Oak Park, CA 91377-1149
	(818) 268-2170
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Miss Emily Nicole Glickman
Gender	Female
Speciality	Marriage & Family Therapist
Location	6259 Smoke Tree Ave, Oak Park, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306235809
Provider Enumeration Date: 01/21/2015
Last Update Date: 07/06/2020

Medicare PECOS Information:

PECOS PAC ID: 5698297877
Enrollment ID: I20250317003285

Medical Identifiers

Medical identifiers for Miss Emily Nicole Glickman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306235809	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	114279 (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. Miss Emily Nicole Glickman allows following entities to bill medicare on her behalf.

Entity Name	Psychological Behavioral Health Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154954303 PECOS PAC ID: 6204272271 Enrollment ID: O20240313000038

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. Miss Emily Nicole Glickman 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
Miss Emily Nicole Glickman, 6259 Smoke Tree Ave, Oak Park, CA 91377-1149 Ph: (818) 268-2170	Miss Emily Nicole Glickman, 6259 Smoke Tree Ave, Oak Park, CA 91377-1149 Ph: (818) 268-2170

Reviews and Comments

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Miss Emily Nicole Glickman, - Medicare Couples Therapy in Oak Park, CA