Mrs Santi Wibawantini, MA, LMFT in Everett, WA - Medicare Marriage & Family Therapist Provider

Mrs Santi Wibawantini, MA, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Everett, Washington. Her current practice location is 2930 Maple St, Everett, Washington. You can reach out to her office (for appointments etc.) via phone at (888) 287-2680.

Mrs Santi Wibawantini is licensed to practice in Washington (license number LF60637556) 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 1295079390.

Contact Information

	Mrs Santi Wibawantini, MA, LMFT
	2930 Maple St, Everett, WA 98201-3832
	(888) 287-2680
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Santi Wibawantini
Gender	Female
Speciality	Marriage & Family Therapist
Location	2930 Maple St, Everett, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295079390
Provider Enumeration Date: 11/15/2012
Last Update Date: 09/28/2022

Medicare PECOS Information:

PECOS PAC ID: 5496108029
Enrollment ID: I20240130002216

Medical Identifiers

Medical identifiers for Mrs Santi Wibawantini such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295079390	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	LF60637556 (Washington)	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. Mrs Santi Wibawantini allows following entities to bill medicare on her behalf.

Entity Name	Kaiser Foundation Health Plan Of Washington
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396810701 PECOS PAC ID: 9032022579 Enrollment ID: O20031112000454

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. Mrs Santi Wibawantini 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
Mrs Santi Wibawantini, MA, LMFT 5508 234th St Sw, Mountlake Terrace, WA 98043-4746 Ph: (425) 448-8094	Mrs Santi Wibawantini, MA, LMFT 2930 Maple St, Everett, WA 98201-3832 Ph: (888) 287-2680

Reviews and Comments

Marriage & Family Therapist in Everett, WA

Ms. Brianna Christine White, MS MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1509 California St, Everett, WA 98201 Phone: 425-388-7497 Fax: 425-349-7969
Ms. Dolores Karen Righi, LICSW, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 6000 Cady Road, Everett, WA 98203 Phone: 360-657-3586 Fax: 360-651-1824
Mrs. Kimbrough Leigh Charbonneau Vitulli, MA Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 4526 Federal Ave, Compass Health, Everett, WA 98203 Phone: 425-349-8476
Kaitlyn Lucas-roberts, MS Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2702 Rockefeller Ave, Everett, WA 98201 Phone: 425-258-2955
Emily Morton Owen, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 14 E Casino Rd Ste A, Everett, WA 98208 Phone: 425-353-5656 Fax: 425-513-2807
Miranda Lee Santisteban, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1509 California St, Everett, WA 98201 Phone: 425-789-3000
Karla Mancero, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 4526 Federal Ave, Everett, WA 98203 Phone: 425-349-6200 Fax: 425-349-8348

Mrs Santi Wibawantini, MA, LMFT - Medicare Couples Therapy in Everett, WA