Miss Kandi Martel Dudley, in Cerritos, CA - Medicare Marriage & Family Therapist Provider

Miss Kandi Martel Dudley, is a medicare enrolled "Marriage & Family Therapist" provider in Cerritos, California. Her current practice location is 17215 Studebaker Rd, Suite 110, Cerritos, California. You can reach out to her office (for appointments etc.) via phone at (323) 547-8977.

Miss Kandi Martel Dudley is licensed to practice in California (license number 47408) 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 1194845453.

Contact Information

	Miss Kandi Martel Dudley,
	17215 Studebaker Rd, Suite 110, Cerritos, CA 90703-2548
	(323) 547-8977
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Miss Kandi Martel Dudley
Gender	Female
Speciality	Marriage & Family Therapist
Location	17215 Studebaker Rd, Cerritos, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194845453
Provider Enumeration Date: 03/30/2007
Last Update Date: 05/25/2021

Medicare PECOS Information:

PECOS PAC ID: 2365963121
Enrollment ID: I20250310000918

Medical Identifiers

Medical identifiers for Miss Kandi Martel Dudley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194845453	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	47408 (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 Kandi Martel Dudley allows following entities to bill medicare on her 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

Entity Name	Sud Specialty Group - Ca
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972138238 PECOS PAC ID: 9537534177 Enrollment ID: O20230412001370

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 Kandi Martel Dudley 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 Kandi Martel Dudley, 1336 Singingwood Ave, Pomona, CA 91767-4114 Ph: (323) 547-8977	Miss Kandi Martel Dudley, 17215 Studebaker Rd, Suite 110, Cerritos, CA 90703-2548 Ph: (323) 547-8977

Reviews and Comments

Marriage & Family Therapist in Cerritos, CA

Scott Ryan, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 10929 South St, Suite 208b, Cerritos, CA 90703 Phone: 562-924-5526 Fax: 562-924-1040
Brooke Wharton, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 12898 Towne Center Dr, Cerritos, CA 90703 Phone: 714-713-1986
Charles Halbert, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 12900 Park Plaza Dr, Cerritos, CA 90703 Phone: 562-246-3510
Berlinda Lao Abrazado, Couples Therapy Medicare: Medicare Enrolled Practice Location: 19922 Gridley Rd, Cerritos, CA 90703 Phone: 562-397-2126
Maria De Fatima Trucios, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 10929 South St Ste 208b, Cerritos, CA 90703 Phone: 563-924-5526
Mrs. Lorena Rivas-lopez, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 10929 South St, Suite 208b, Cerritos, CA 90703 Phone: 562-924-5526 Fax: 562-924-1040
Mr. Karam Skaf, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 10802 College Pl, Cerritos, CA 90703 Phone: 562-924-9581

Miss Kandi Martel Dudley, - Medicare Couples Therapy in Cerritos, CA