Ernestvid Tamayo Iii, LCSW in Pasadena, CA - Medicare Social Worker Provider

Ernestvid Tamayo Iii, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Pasadena, California. His current practice location is 1719 N Summit Ave, Pasadena, California. You can reach out to his office (for appointments etc.) via phone at (213) 503-0429.

Ernestvid Tamayo Iii is licensed to practice in California (license number 95917) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1417532920.

Contact Information

	Ernestvid Tamayo Iii, LCSW
	1719 N Summit Ave, Pasadena, CA 91103-1844
	(213) 503-0429
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ernestvid Tamayo Iii
Gender	Male
Speciality	Social Worker - Clinical
Location	1719 N Summit Ave, Pasadena, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417532920
Provider Enumeration Date: 03/16/2021
Last Update Date: 12/23/2021

Medicare PECOS Information:

PECOS PAC ID: 5092104943
Enrollment ID: I20211115000819

Medical Identifiers

Medical identifiers for Ernestvid Tamayo Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417532920	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	95917 (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. Ernestvid Tamayo Iii allows following entities to bill medicare on his behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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. Ernestvid Tamayo Iii 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
Ernestvid Tamayo Iii, LCSW 1719 N Summit Ave, Pasadena, CA 91103-1844 Ph: (213) 503-0429	Ernestvid Tamayo Iii, LCSW 1719 N Summit Ave, Pasadena, CA 91103-1844 Ph: (213) 503-0429

Reviews and Comments

Social Worker in Pasadena, CA

Luisana Marquez, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 351 S Hudson Ave Rm 206, Pasadena, CA 91101 Phone: 626-396-3600
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Mr. Alfred Koon-ho Chow, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 447 N El Molino Ave, Pasadena, CA 91101 Phone: 626-577-8480
Ms. Mari Lacressa Martin, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1520 N Raymond Ave Bldg 2-7, Pasadena, CA 91103 Phone: 626-396-5920

Ernestvid Tamayo Iii, LCSW - Medicare Clinical Social Worker in Pasadena, CA