Guadalupe P Avila, GUADALUPE AVILA - Medicare Clinical Social Worker in East Elmhurst, NY

Guadalupe P Avila, GUADALUPE AVILA is a medicare enrolled "Social Worker - Clinical" provider in East Elmhurst, New York. Her current practice location is 3225 90th St, Apt 408, East Elmhurst, New York. You can reach out to her office (for appointments etc.) via phone at (917) 907-4737.

Guadalupe P Avila is licensed to practice in New York (license number 055836) 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 1891949160.

Contact Information

Guadalupe P Avila, GUADALUPE AVILA
3225 90th St, Apt 408,
East Elmhurst, NY 11369-2356
(917) 907-4737
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameGuadalupe P Avila
GenderFemale
SpecialitySocial Worker - Clinical
Location3225 90th St, East Elmhurst, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1891949160
  • Provider Enumeration Date: 11/12/2008
  • Last Update Date: 03/30/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 3779841325
  • Enrollment ID: I20180103001792

Medical Identifiers

Medical identifiers for Guadalupe P Avila such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891949160NPI-NPPES
34200OtherNYFLUSHING HOSPITAL
46300OtherNYPERSONAL TOUCH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 055836 (Florida)Secondary
252Y00000XEarly Intervention Provider Agency 055836-1 (New York)Secondary
1041C0700XSocial Worker - Clinical 055836 (New York)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. Guadalupe P Avila allows following entities to bill medicare on her behalf.
Entity NameQueens Psychotherapy Lcsw Services P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366806705
PECOS PAC ID: 9931499639
Enrollment ID: O20160608002581

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. Guadalupe P Avila 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 AddressPractice Location Address
Guadalupe P Avila, GUADALUPE AVILA
3225 90th St Apt 408,
East Elmhurst, NY 11369-2306

Ph: (917) 907-4737
Guadalupe P Avila, GUADALUPE AVILA
3225 90th St, Apt 408,
East Elmhurst, NY 11369-2356

Ph: (917) 907-4737

Reviews and Comments


Social Worker in East Elmhurst, NY

Cheryl A. Nurse, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 2929 Ericsson St, East Elmhurst, NY 11369
Phone: 718-458-8967    
Ms. Yanette Leticia Tactuk, LCSW-R
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 3119 89th St Apt 1b, East Elmhurst, NY 11369
Phone: 646-226-6979    
Gerda Gonzalez,
Clinical Social Worker
Medicare: May Accept Medicare Assignments
Practice Location: 3119 77th St, East Elmhurst, NY 11370
Phone: 917-379-1066    
Laura Cruz, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 2502 75th St, East Elmhurst, NY 11370
Phone: 718-350-3143    Fax: 718-350-3067
Hannah Salazar Villavicencio, LCSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 3250 93rd St Apt A7, East Elmhurst, NY 11369
Phone: 516-515-1997    
Margarita Hernandez, L.C.S.W.
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 2514 71st St, East Elmhurst, NY 11370
Phone: 646-239-5650    
Tonya Davis,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 3135 104th St, East Elmhurst, NY 11369
Phone: 718-288-5437    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.