Mrs Tyra Bennett, LMFT #111017 in Lafayette, CA - Medicare Marriage & Family Therapist Provider

Mrs Tyra Bennett, LMFT #111017 is a medicare enrolled "Marriage & Family Therapist" provider in Lafayette, California. Her current practice location is 3559 Mt Diablo Blvd Unit 190, Lafayette, California. You can reach out to her office (for appointments etc.) via phone at (909) 961-5128.

Mrs Tyra Bennett is licensed to practice in California (license number 111017) 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 1235576794.

Contact Information

	Mrs Tyra Bennett, LMFT #111017
	3559 Mt Diablo Blvd Unit 190, Lafayette, CA 94549-3876
	(909) 961-5128
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Tyra Bennett
Gender	Female
Speciality	Marriage & Family Therapist
Location	3559 Mt Diablo Blvd Unit 190, Lafayette, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235576794
Provider Enumeration Date: 05/23/2013
Last Update Date: 05/09/2023

Medicare PECOS Information:

PECOS PAC ID: 9638514979
Enrollment ID: I20240227001743

Medical Identifiers

Medical identifiers for Mrs Tyra Bennett such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235576794	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	111017 (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 Tyra Bennett allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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 Tyra Bennett 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 Tyra Bennett, LMFT #111017 3559 Mt Diablo Blvd Unit 190, Lafayette, CA 94549-3876 Ph: (909) 961-5128	Mrs Tyra Bennett, LMFT #111017 3559 Mt Diablo Blvd Unit 190, Lafayette, CA 94549-3876 Ph: (909) 961-5128

Reviews and Comments

Marriage & Family Therapist in Lafayette, CA

Leslie Foge, MA, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 954 Risa Rd, Suite A, Lafayette, CA 94549 Phone: 510-332-2649
Pierre Francois Vilanoba, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3468 Mt Diablo Blvd Ste B201, Lafayette, CA 94549 Phone: 925-284-2298
Mrs. Lifan Wang Koerner, AMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 986 Moraga Rd, Lafayette, CA 94549 Phone: 925-954-6229 Fax: 925-269-8052
Ann Sarene Russum, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3744 Mt Diablo Blvd Ste 206, Lafayette, CA 94549 Phone: 925-788-7599
Lisa M Lewis, MA Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 954 Risa Rd Ste A, Lafayette, CA 94549 Phone: 925-388-9228
Valerie Maria Beltran, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3468 Mt Diablo Blvd Ste B201, Lafayette, CA 94549 Phone: 925-297-5230
Lauren Bruhn, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 978 2nd St Ste 200, Lafayette, CA 94549 Phone: 925-386-6037

Mrs Tyra Bennett, LMFT #111017 - Medicare Couples Therapy in Lafayette, CA