Saul Joaquin Estavillo, MFT-INTERN in Spring Valley, CA - Medicare Marriage & Family Therapist Provider

Saul Joaquin Estavillo, MFT-INTERN is a medicare enrolled "Marriage & Family Therapist" provider in Spring Valley, California. His current practice location is 3322 Sweetwater Springs Blvd, 102, Spring Valley, California. You can reach out to his office (for appointments etc.) via phone at (619) 993-7313.

Saul Joaquin Estavillo is licensed to practice in California (license number IMF69470) 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 1528330073.

Contact Information

	Saul Joaquin Estavillo, MFT-INTERN
	3322 Sweetwater Springs Blvd, 102, Spring Valley, CA 91977-3162
	(619) 993-7313
	(619) 670-0060

Map and Direction

Healthcare Provider's Profile

Full Name	Saul Joaquin Estavillo
Gender	Male
Speciality	Marriage & Family Therapist
Location	3322 Sweetwater Springs Blvd, Spring Valley, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1528330073
Provider Enumeration Date: 01/30/2012
Last Update Date: 02/04/2015

Medicare PECOS Information:

PECOS PAC ID: 6103277462
Enrollment ID: I20240110005195

Medical Identifiers

Medical identifiers for Saul Joaquin Estavillo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528330073	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	IMF69470 (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. Saul Joaquin Estavillo allows following entities to bill medicare on his behalf.

Entity Name	Centro De Salud De La Comunidad De San Ysidro, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124782685 PECOS PAC ID: 6901709435 Enrollment ID: O20040130000711

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. Saul Joaquin Estavillo 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
Saul Joaquin Estavillo, MFT-INTERN 5337 Vista Santa Margarita, San Diego, CA 92154-5515 Ph: (619) 410-9933	Saul Joaquin Estavillo, MFT-INTERN 3322 Sweetwater Springs Blvd, 102, Spring Valley, CA 91977-3162 Ph: (619) 993-7313

Reviews and Comments

Marriage & Family Therapist in Spring Valley, CA

Jana Schaefer, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 8788 Jamacha Rd, Spring Valley, CA 91977 Phone: 619-515-2354
Melissa Ramirez, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3845 Spring Dr, Spring Valley, CA 91977 Phone: 619-255-7520
Mrs. Danielle Marie Storevik, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3845 Spring Dr, 18, Spring Valley, CA 91977 Phone: 619-281-3706 Fax: 619-797-1091
Ms. Stephanie Ann Leung, MA IMF Couples Therapy Medicare: Medicare Enrolled Practice Location: 8788 Jamacha Rd, Spring Valley, CA 91977 Phone: 619-515-2354 Fax: 619-589-2812
Andrea Santos, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3845 Spring Dr, Spring Valley, CA 91977 Phone: 619-515-2380
Eleanor Sperandio, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3845 Spring Dr, Spring Valley, CA 91977 Phone: 619-515-2380
James J Wieme, MFT INTERN Couples Therapy Medicare: Medicare Enrolled Practice Location: 8585 Blossom Ln, Spring Valley, CA 91977 Phone: 619-337-6100 Fax: 619-697-7027

Saul Joaquin Estavillo, MFT-INTERN - Medicare Couples Therapy in Spring Valley, CA