Mr Eric Tabamo Guzman, MS, MFT is a medicare enrolled "Marriage & Family Therapist" provider in Monroe, Wisconsin. He graduated from healthcare school in 2007 and has 18 years of diverse experience with area of expertise as Marriage And Family Therapist. He is a member of the group practice The Monroe Clinic, Inc. and his current practice location is
2009 5th St, Monroe, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(608) 324-2000.
Mr Eric Tabamo Guzman is licensed to practice in Wisconsin (license number 974-124) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1558694125.
Healthcare Provider's Profile
| Full Name | Mr Eric Tabamo Guzman |
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| Gender | Male |
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| Speciality | Marriage And Family Therapist |
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| Experience | 18 Years |
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| Location | 2009 5th St, Monroe, Wisconsin |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mr Eric Tabamo Guzman graduated from medical school in 2007
NPI Data:
- NPI Number: 1558694125
- Provider Enumeration Date: 09/14/2009
- Last Update Date: 10/30/2024
Medicare PECOS Information:
- PECOS PAC ID: 0244680890
- Enrollment ID: I20231222002251
Medical Identifiers
Medical identifiers for Mr Eric Tabamo Guzman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1558694125 | NPI | - | NPPES |
| 1558694125 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 106H00000X | Marriage & Family Therapist | 974-124 (Wisconsin) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| The Monroe Clinic, Inc. | 3072425495 | 169 |
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 Eric Tabamo Guzman allows following entities to bill medicare on his behalf.
| Entity Name | The Monroe Clinic Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1386720548 PECOS PAC ID: 3072425495 Enrollment ID: O20031104000392 |
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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 Eric Tabamo Guzman 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 Eric Tabamo Guzman, MS, MFT 324 River St, Portage, WI 53901-1946 Ph: (608) 617-4173 | Mr Eric Tabamo Guzman, MS, MFT 2009 5th St, Monroe, WI 53566-1546 Ph: (608) 324-2000 |
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