Traci Ann Autry, LMFT - Medicare Couples Therapy in San Luis Obispo, CA

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Traci Ann Autry, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in San Luis Obispo, California. Her current practice location is 285 South St, Suite J, San Luis Obispo, California. You can reach out to her office (for appointments etc.) via phone at (805) 547-7025.

Traci Ann Autry is licensed to practice in California (license number LMFT95987) 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 1164803441.

Contact Information

Traci Ann Autry, LMFT
285 South St, Suite J,
San Luis Obispo, CA 93401-5037
(805) 547-7025
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameTraci Ann Autry
GenderFemale
SpecialityMarriage & Family Therapist
Location285 South St, San Luis Obispo, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1164803441
  • Provider Enumeration Date: 06/12/2015
  • Last Update Date: 06/10/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 0648715714
  • Enrollment ID: I20240712001983

Medical Identifiers

Medical identifiers for Traci Ann Autry such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164803441NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
106H00000XMarriage & Family Therapist 80459 (California)Secondary
106H00000XMarriage & Family Therapist LMFT95987 (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. Traci Ann Autry allows following entities to bill medicare on her behalf.
Entity NameMemory Check Psychological Services, A Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912184219
PECOS PAC ID: 7416856422
Enrollment ID: O20040107001021
Entity NameWilshire Connected Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104392885
PECOS PAC ID: 5890038558
Enrollment ID: O20190521000171

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. Traci Ann Autry 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 AddressPractice Location Address
Traci Ann Autry, LMFT
285 South St, Suite J,
San Luis Obispo, CA 93401-5037

Ph: (805) 547-7025		Traci Ann Autry, LMFT
285 South St, Suite J,
San Luis Obispo, CA 93401-5037

Ph: (805) 547-7025

Reviews and Comments


Marriage & Family Therapist in San Luis Obispo, CA

Bethany J Shakespeare, MS, LMFT
Couples Therapy
Medicare: Not Enrolled in Medicare
Practice Location: 2975 Mcmillan Ave Ste 164, San Luis Obispo, CA 93401
Phone: 805-439-4890    
Callie Rose Boller,
Couples Therapy
Medicare: Not Enrolled in Medicare
Practice Location: 2178 Johnson Ave, San Luis Obispo, CA 93401
Phone: 805-781-4700    
Susie Juliana Bautista,
Couples Therapy
Medicare: Not Enrolled in Medicare
Practice Location: 2178 Johnson Ave, San Luis Obispo, CA 93401
Phone: 805-781-4960    
Nasseem Amelia Berkman,
Couples Therapy
Medicare: Not Enrolled in Medicare
Practice Location: 2975 Mcmillan Ave Ste 160, San Luis Obispo, CA 93401
Phone: 805-781-4855    
Ms. Lynn N. Swanson, LMFT
Couples Therapy
Medicare: Not Enrolled in Medicare
Practice Location: 11573 Los Osos Valley Rd, Suite D, San Luis Obispo, CA 93405
Phone: 805-541-1434    
Pamela Kremza, LMFT
Couples Therapy
Medicare: Not Enrolled in Medicare
Practice Location: 508 Higuera St, San Luis Obispo, CA 93401
Phone: 626-991-0047    
Michael Kington,
Couples Therapy
Medicare: Medicare Enrolled
Practice Location: 1103 Toro St, San Luis Obispo, CA 93401
Phone: 805-781-4190    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.