Dr Renee Tivoni Mack, LCSW, PHD in Sherman Oaks, CA

Dr Renee Tivoni Mack, LCSW, PHD is a medicare enrolled "Social Worker - Clinical" provider in Sherman Oaks, California. Her current practice location is 13719 Ventura Blvd # I, Sherman Oaks, California. You can reach out to her office (for appointments etc.) via phone at (805) 953-4221.

Dr Renee Tivoni Mack is licensed to practice in California (license number 89359) 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 1558109173.

Contact Information

	Dr Renee Tivoni Mack, LCSW, PHD
	13719 Ventura Blvd # I, Sherman Oaks, CA 91423-3032
	(805) 953-4221
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Renee Tivoni Mack
Gender	Female
Speciality	Social Worker - Clinical
Location	13719 Ventura Blvd # I, Sherman Oaks, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558109173
Provider Enumeration Date: 07/17/2024
Last Update Date: 07/17/2024

Medicare PECOS Information:

PECOS PAC ID: 9638606890
Enrollment ID: I20241230001244

Medical Identifiers

Medical identifiers for Dr Renee Tivoni Mack such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558109173	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	89359 (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. Dr Renee Tivoni Mack 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. Dr Renee Tivoni Mack 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
Dr Renee Tivoni Mack, LCSW, PHD 13719 Ventura Blvd # I, Sherman Oaks, CA 91423-3032 Ph: (805) 953-4221	Dr Renee Tivoni Mack, LCSW, PHD 13719 Ventura Blvd # I, Sherman Oaks, CA 91423-3032 Ph: (805) 953-4221

Reviews and Comments

Social Worker in Sherman Oaks, CA

Catherine Hae-ran Lee, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 15206 Ventura Blvd Ste 303, Sherman Oaks, CA 91403 Phone: 818-732-0749
Phyllis K Stewart, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 15300 Ventura Blvd, Suite 408, Sherman Oaks, CA 91403 Phone: 818-789-7728 Fax: 323-466-0547
Haylie Noelle O'hanlon, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 13552 Burbank Blvd Apt 3, Sherman Oaks, CA 91401 Phone: 818-351-9835
Hehn Leigh Dimand, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5510 Noble Ave, Sherman Oaks, CA 91411 Phone: 818-448-9353
Shanequa Black, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4401 Sepulveda Blvd Unit 210, Sherman Oaks, CA 91403 Phone: 562-392-0011
Robert S. Schwartz, M.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 14724 Ventura Blvd, #1100, Sherman Oaks, CA 91403 Phone: 310-551-4706 Fax: 818-761-8214
Anna C Bardez, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 13749 Riverside Dr, Sherman Oaks, CA 91423 Phone: 818-986-3886 Fax: 818-789-3134

Dr Renee Tivoni Mack, LCSW, PHD - Medicare Clinical Social Worker in Sherman Oaks, CA