Mrs Shannon Renee Vanderberg, in Reseda, CA - Medicare Marriage & Family Therapist Provider

Mrs Shannon Renee Vanderberg, is a medicare enrolled "Marriage & Family Therapist" provider in Reseda, California. Her current practice location is 19231 Victory Blvd Ste 110, Reseda, California. You can reach out to her office (for appointments etc.) via phone at (818) 708-4500.

Mrs Shannon Renee Vanderberg is licensed to practice in California (license number MFC90568) 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 1306073952.

Contact Information

	Mrs Shannon Renee Vanderberg,
	19231 Victory Blvd Ste 110, Reseda, CA 91335-6321
	(818) 708-4500
	(818) 654-1956

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Shannon Renee Vanderberg
Gender	Female
Speciality	Marriage & Family Therapist
Location	19231 Victory Blvd Ste 110, Reseda, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306073952
Provider Enumeration Date: 06/22/2009
Last Update Date: 03/17/2018

Medicare PECOS Information:

PECOS PAC ID: 6709316300
Enrollment ID: I20250212001416

Medical Identifiers

Medical identifiers for Mrs Shannon Renee Vanderberg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306073952	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	MFC90568 (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. Mrs Shannon Renee Vanderberg 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

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 Shannon Renee Vanderberg 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 Shannon Renee Vanderberg, 19231 Victory Blvd Ste 110, Reseda, CA 91335-6321 Ph: (818) 708-4500	Mrs Shannon Renee Vanderberg, 19231 Victory Blvd Ste 110, Reseda, CA 91335-6321 Ph: (818) 708-4500

Reviews and Comments

Marriage & Family Therapist in Reseda, CA

Mr. Jeffrey Joal Annon, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 7915 Lindley Ave, Reseda, CA 91335 Phone: 818-302-0712
Mehdi Anthony Owliaie, Couples Therapy Medicare: Medicare Enrolled Practice Location: 7560 Corbin Ave Unit 5, Reseda, CA 91335 Phone: 702-239-7770
Nanette Michelle Flynn, M.F.T. Couples Therapy Medicare: Medicare Enrolled Practice Location: 18040 Sherman Way, Reseda, CA 91335 Phone: 818-758-1210
Ms. Terri Marie Balady, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 19231 Victory Blvd Ste 554, Reseda, CA 91335 Phone: 818-775-1776
Madeleine Dechannes, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 18050 Vanowen St, Reseda, CA 91335 Phone: 818-888-4559 Fax: 818-888-4005
Mrs. Karla Ivonne Flores, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 18040 Sherman Way, Reseda, CA 91335 Phone: 818-758-1324
Olabisi Oyewo, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 19231 Victory Blvd Ste 110, Reseda, CA 91335 Phone: 818-708-4500

Mrs Shannon Renee Vanderberg, - Medicare Couples Therapy in Reseda, CA