Mr Sergio Bautista Sandoval, LMFT in Redwood City, CA - Medicare Marriage & Family Therapist Provider

Mr Sergio Bautista Sandoval, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Redwood City, California. His current practice location is 1400 Veterans Blvd, Redwood City, California. You can reach out to his office (for appointments etc.) via phone at (650) 299-6008.

Mr Sergio Bautista Sandoval is licensed to practice in California (license number 111726) 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 1841608726.

Contact Information

	Mr Sergio Bautista Sandoval, LMFT
	1400 Veterans Blvd, Redwood City, CA 94063-2612
	(650) 299-6008
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Sergio Bautista Sandoval
Gender	Male
Speciality	Marriage & Family Therapist
Location	1400 Veterans Blvd, Redwood City, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1841608726
Provider Enumeration Date: 07/23/2014
Last Update Date: 12/27/2021

Medicare PECOS Information:

PECOS PAC ID: 6608305701
Enrollment ID: I20250117001444

Medical Identifiers

Medical identifiers for Mr Sergio Bautista Sandoval such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841608726	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	111726 (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 Sergio Bautista Sandoval allows following entities to bill medicare on his behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823

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 Sergio Bautista Sandoval 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 Sergio Bautista Sandoval, LMFT 60 Rivas Ave, San Francisco, CA 94132-2139 Ph: (714) 323-8079	Mr Sergio Bautista Sandoval, LMFT 1400 Veterans Blvd, Redwood City, CA 94063-2612 Ph: (650) 299-6008

Reviews and Comments

Marriage & Family Therapist in Redwood City, CA

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Jane Ellen Hargrave, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1558 James Ave, Redwood City, CA 94062 Phone: 510-859-7835

Mr Sergio Bautista Sandoval, LMFT - Medicare Couples Therapy in Redwood City, CA