Alisa Gardner, in Costa Mesa, CA - Medicare Clinical Social Worker Provider

Alisa Gardner, is a medicare enrolled "Social Worker - Clinical" provider in Costa Mesa, California. She graduated from medical school in 1986 and has 38 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Integrative Behavioral Health And Medicine Inc and her current practice location is 3151 Airway Ave, T2, Costa Mesa, California. You can reach out to her office (for appointments etc.) via phone at (949) 438-2342.

Alisa Gardner is licensed to practice in California (license number LCSW18615) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1518319946.

Contact Information

	Alisa Gardner,
	3151 Airway Ave, T2, Costa Mesa, CA 92626-4607
	(949) 438-2342
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Alisa Gardner
Gender	Female
Speciality	Clinical Social Worker
Experience	38 Years
Location	3151 Airway Ave, Costa Mesa, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Alisa Gardner graduated from medical school in 1986

NPI Data:

NPI Number: 1518319946
Provider Enumeration Date: 07/09/2016
Last Update Date: 02/25/2019

Medicare PECOS Information:

PECOS PAC ID: 1850632720
Enrollment ID: I20190403001834

Medical Identifiers

Medical identifiers for Alisa Gardner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518319946	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LCSW18615 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Integrative Behavioral Health And Medicine Inc	4385021393	12

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. Alisa Gardner allows following entities to bill medicare on her behalf.

Entity Name	Integrative Behavioral Health & Medicine Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548910151 PECOS PAC ID: 4385021393 Enrollment ID: O20220512002322

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. Alisa Gardner 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
Alisa Gardner, 4966 El Camino Real, Ste 224, Los Altos, CA 94022-1458 Ph: (650) 690-2362	Alisa Gardner, 3151 Airway Ave, T2, Costa Mesa, CA 92626-4607 Ph: (949) 438-2342

Reviews and Comments

Social Worker in Costa Mesa, CA

Joseph Madrid, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 252 16th Pl Apt C, Costa Mesa, CA 92627 Phone: 949-566-5222
Shelley Beckham, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 271 Mesa Dr, Costa Mesa, CA 92627 Phone: 949-422-1882 Fax: 949-548-2303
Brian Jacobo, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 301 Victoria St, Costa Mesa, CA 92627 Phone: 949-642-2734
Jeremy Quang Le, ACSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 301 Victoria St, Costa Mesa, CA 92627 Phone: 949-642-2734
Lizeth Dimas Sebastian, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2801 Bristol St, Costa Mesa, CA 92626 Phone: 714-850-8408
Kelleen Carrie Stainer, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 555 Anton Blvd Ste 150, Costa Mesa, CA 92626 Phone: 949-204-0011
Grace Tsai, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 940 S Coast Dr Ste 260, Costa Mesa, CA 92626 Phone: 714-907-2318

Alisa Gardner, - Medicare Clinical Social Worker in Costa Mesa, CA