Darya Potyagova, in North Hollywood, CA - Medicare Social Worker Provider

Darya Potyagova, is a medicare enrolled "Social Worker - Clinical" provider in North Hollywood, California. Her current practice location is 11843 Gilmore St # 3, North Hollywood, California. You can reach out to her office (for appointments etc.) via phone at (323) 217-5473.

Darya Potyagova is licensed to practice in * (Not Available) (license number ) 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 1770052698.

Contact Information

	Darya Potyagova,
	11843 Gilmore St # 3, North Hollywood, CA 91606-2853
	(323) 217-5473
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Darya Potyagova
Gender	Female
Speciality	Social Worker - Clinical
Location	11843 Gilmore St # 3, North Hollywood, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770052698
Provider Enumeration Date: 11/20/2018
Last Update Date: 11/20/2018

Medicare PECOS Information:

PECOS PAC ID: 1658618186
Enrollment ID: I20190122003351

Medical Identifiers

Medical identifiers for Darya Potyagova such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770052698	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	(* (Not Available))	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. Darya Potyagova allows following entities to bill medicare on her behalf.

Entity Name	Change Within Reach Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003207002 PECOS PAC ID: 2062723810 Enrollment ID: O20150619000776

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. Darya Potyagova 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
Darya Potyagova, 11843 Gilmore St # 3, North Hollywood, CA 91606-2853 Ph: () -	Darya Potyagova, 11843 Gilmore St # 3, North Hollywood, CA 91606-2853 Ph: (323) 217-5473

Reviews and Comments

Social Worker in North Hollywood, CA

Katherine Lair, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5062 Lankershim Blvd # 1020, North Hollywood, CA 91601 Phone: 909-713-9023
Ms. Cindy Toledo, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12157 Victory Blvd, North Hollywood, CA 91606 Phone: 818-755-8000
Kristen Estrella, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6400 Laurel Canyon Blvd Ste 500, North Hollywood, CA 91606 Phone: 818-901-6376
Mrs. Karen R Hess, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12821 Victory Blvd, North Hollywood, CA 91606 Phone: 818-769-0560 Fax: 818-766-8523
Talin Khechoomian, ASW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11005 Kittridge St Apt 101, North Hollywood, CA 91606 Phone: 747-977-1674
Ingrid Rey Balbuena, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6736 Laurel Canyon Blvd, North Hollywood, CA 91606 Phone: 818-824-9853
Jeanett Del Carmen Carrillo, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 12157 Victory Blvd, North Hollywood, CA 91606 Phone: 818-755-8000

Darya Potyagova, - Medicare Clinical Social Worker in North Hollywood, CA