Susan Pelletier, in East Rancho Dominguez, CA - Medicare Marriage & Family Therapist Provider

Susan Pelletier, is a medicare enrolled "Marriage & Family Therapist" provider in East Rancho Dominguez, California. Her current practice location is 15116 S Gibson Ave, East Rancho Dominguez, California. You can reach out to her office (for appointments etc.) via phone at (323) 242-5000.

Susan Pelletier is licensed to practice in California (license number 124857) 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 1669998597.

Contact Information

	Susan Pelletier,
	15116 S Gibson Ave, East Rancho Dominguez, CA 90221-3106
	(323) 242-5000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Susan Pelletier
Gender	Female
Speciality	Marriage & Family Therapist
Location	15116 S Gibson Ave, East Rancho Dominguez, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1669998597
Provider Enumeration Date: 08/22/2017
Last Update Date: 06/24/2024

Medicare PECOS Information:

PECOS PAC ID: 6709321433
Enrollment ID: I20240717002312

Medical Identifiers

Medical identifiers for Susan Pelletier such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669998597	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	(* (Not Available))	Secondary
106H00000X	Marriage & Family Therapist	124857 (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. Susan Pelletier allows following entities to bill medicare on her behalf.

Entity Name	Foresight Mental Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902390537 PECOS PAC ID: 6103176219 Enrollment ID: O20180912000079

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. Susan Pelletier 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
Susan Pelletier, 116 1/2 E Avenue 42, Los Angeles, CA 90031-1521 Ph: (323) 556-1848	Susan Pelletier, 15116 S Gibson Ave, East Rancho Dominguez, CA 90221-3106 Ph: (323) 242-5000

Reviews and Comments

Marriage & Family Therapist in East Rancho Dominguez, CA

Ms. Roxanne Castillo, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 15116 S Gibson Ave, East Rancho Dominguez, CA 90221 Phone: 323-242-5000
Margaux Bonzon, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 15116 S Gibson Ave, East Rancho Dominguez, CA 90221 Phone: 323-242-5000
Kimberly Brown, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 15116 S Gibson Ave, East Rancho Dominguez, CA 90221 Phone: 323-242-5000
Bradlisia Dixon, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 15116 S. Gibson Ave., East Rancho Dominguez, CA 90220 Phone: 323-242-5000

Susan Pelletier, - Medicare Couples Therapy in East Rancho Dominguez, CA