Connie Xiao Sun, LCSW is a medicare enrolled "Social Worker - Clinical" provider in South Pasadena, California. Her current practice location is
625 Fair Oaks Ave, South Pasadena, California. You can reach out to her office (for appointments etc.) via phone at
(626) 441-4221.
Connie Xiao Sun is licensed to practice in California (license number LCSW28964) 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 1073708210.
Healthcare Provider's Profile
Full Name | Connie Xiao Sun |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 625 Fair Oaks Ave, South Pasadena, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1073708210
- Provider Enumeration Date: 09/11/2007
- Last Update Date: 02/29/2024
Medicare PECOS Information:
- PECOS PAC ID: 1850544511
- Enrollment ID: I20130104000339
Medical Identifiers
Medical identifiers for Connie Xiao Sun such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073708210 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
101YM0800X | Counselor - Mental Health | 26121 (California) | Secondary |
1041C0700X | Social Worker - Clinical | LCSW28964 (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. Connie Xiao Sun allows following entities to bill medicare on her behalf.
Entity Name | Pacific Clinics |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1255496105 PECOS PAC ID: 4082008420 Enrollment ID: O20220228001926 |
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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. Connie Xiao Sun 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 |
Connie Xiao Sun, LCSW 66 Hurlbut St, Pasadena, CA 91105-4025 Ph: (626) 441-4221 | Connie Xiao Sun, LCSW 625 Fair Oaks Ave, South Pasadena, CA 91030-2630 Ph: (626) 441-4221 |
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