Mr Clyde Eugene Tibbett Jr, in Redding, CA - Medicare Marriage & Family Therapist Provider

Mr Clyde Eugene Tibbett Jr, is a medicare enrolled "Marriage & Family Therapist" provider in Redding, California. His current practice location is 1650 Oregon St Ste 111, Redding, California. You can reach out to his office (for appointments etc.) via phone at (530) 962-0307.

Mr Clyde Eugene Tibbett Jr is licensed to practice in California (license number LMFT113432) 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 1235663006.

Contact Information

	Mr Clyde Eugene Tibbett Jr,
	1650 Oregon St Ste 111, Redding, CA 96001-1754
	(530) 962-0307
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Clyde Eugene Tibbett Jr
Gender	Male
Speciality	Marriage & Family Therapist
Location	1650 Oregon St Ste 111, Redding, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235663006
Provider Enumeration Date: 04/18/2017
Last Update Date: 02/22/2023

Medicare PECOS Information:

PECOS PAC ID: 6901249994
Enrollment ID: I20240206004935

Medical Identifiers

Medical identifiers for Mr Clyde Eugene Tibbett Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235663006	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	LMFT113432 (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. Mr Clyde Eugene Tibbett Jr allows following entities to bill medicare on his behalf.

Entity Name	Redding Rancheria
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104859354 PECOS PAC ID: 7810969847 Enrollment ID: O20040810001377

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. Mr Clyde Eugene Tibbett Jr 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
Mr Clyde Eugene Tibbett Jr, 1650 Oregon St Ste 111, Redding, CA 96001-1754 Ph: () -	Mr Clyde Eugene Tibbett Jr, 1650 Oregon St Ste 111, Redding, CA 96001-1754 Ph: (530) 962-0307

Reviews and Comments

Marriage & Family Therapist in Redding, CA

Cherish Carlette Padro, MA, AMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 1201 Industrial St, Redding, CA 96002 Phone: 530-241-4115
Melissa Helbach, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3657 Ricardo Ave, Redding, CA 96002 Phone: 530-242-9007 Fax: 530-223-2027
Teri Watts, MFT INTERN Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2135 Pine St, Redding, CA 96001 Phone: 530-722-9957 Fax: 530-722-9294
Joshua Stine, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1170 Industrial St, Redding, CA 96002 Phone: 530-338-0330
Derek Williamson, AMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1170 Industrial St, Redding, CA 96002 Phone: 530-722-9957
Sandra A Wilson, MA Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3617 Ricardo, Redding, CA 96002 Phone: 530-605-9902
Mr. Gerry Dale Blasingame, MA, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3161 Bechelli Lane, Suite 201b, Redding, CA 96002 Phone: 530-222-9225 Fax: 530-222-9227

Mr Clyde Eugene Tibbett Jr, - Medicare Couples Therapy in Redding, CA