Ms Lacey Janae Witham, MS in Chino, CA - Medicare Marriage & Family Therapist Provider

Ms Lacey Janae Witham, MS is a medicare enrolled "Marriage & Family Therapist" provider in Chino, California. Her current practice location is 12530 10th St., #c, Chino, California. You can reach out to her office (for appointments etc.) via phone at (626) 536-2664.

Ms Lacey Janae Witham is licensed to practice in California (license number #61195) 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 1982903001.

Contact Information

	Ms Lacey Janae Witham, MS
	12530 10th St., #c, Chino, CA 91710
	(626) 536-2664
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Lacey Janae Witham
Gender	Female
Speciality	Marriage & Family Therapist
Location	12530 10th St., Chino, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1982903001
Provider Enumeration Date: 03/16/2011
Last Update Date: 03/16/2011

Medicare PECOS Information:

PECOS PAC ID: 0941732515
Enrollment ID: I20241021002666

Medical Identifiers

Medical identifiers for Ms Lacey Janae Witham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982903001	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	#61195 (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. Ms Lacey Janae Witham allows following entities to bill medicare on her behalf.

Entity Name	Serene Pathways Family Counseling Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174913321 PECOS PAC ID: 0749721389 Enrollment ID: O20240923001690

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. Ms Lacey Janae Witham 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
Ms Lacey Janae Witham, MS 12530 10th St., #c, Chino, CA 91710 Ph: (626) 536-2664	Ms Lacey Janae Witham, MS 12530 10th St., #c, Chino, CA 91710 Ph: (626) 536-2664

Reviews and Comments

Marriage & Family Therapist in Chino, CA

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Ms Lacey Janae Witham, MS - Medicare Couples Therapy in Chino, CA