Kristina Woodward Mackie, MSW, LCSW in Montclair, CA

Kristina Woodward Mackie, MSW, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Montclair, California. Her current practice location is 5330 San Bernardino St, Montclair, California. You can reach out to her office (for appointments etc.) via phone at (909) 399-3751.

Kristina Woodward Mackie is licensed to practice in California (license number LCSW #27104) 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 1780870998.

Contact Information

	Kristina Woodward Mackie, MSW, LCSW
	5330 San Bernardino St, Montclair, CA 91763-2952
	(909) 399-3751
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kristina Woodward Mackie
Gender	Female
Speciality	Social Worker - Clinical
Location	5330 San Bernardino St, Montclair, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780870998
Provider Enumeration Date: 09/20/2007
Last Update Date: 12/06/2021

Medicare PECOS Information:

PECOS PAC ID: 7911213640
Enrollment ID: I20150826001082

Medical Identifiers

Medical identifiers for Kristina Woodward Mackie such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780870998	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	ASW 22155 (California)	Secondary
1041C0700X	Social Worker - Clinical	LCSW #27104 (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. Kristina Woodward Mackie allows following entities to bill medicare on her behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823

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. Kristina Woodward Mackie 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
Kristina Woodward Mackie, MSW, LCSW 9500 Etiwanda Ave, Rancho Cucamonga, CA 91739-9662 Ph: (909) 463-5234	Kristina Woodward Mackie, MSW, LCSW 5330 San Bernardino St, Montclair, CA 91763-2952 Ph: (909) 399-3751

Reviews and Comments

Social Worker in Montclair, CA

Sarah Claire Diebold, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9916 Central Ave, Montclair, CA 91763 Phone: 909-450-2502
Rosa Maria Ocegueda, ASW73155 Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5050 Palo Verde St, Montclair, CA 91763 Phone: 909-766-0096
Mr. David Rodriguez, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5330 San Bernardino St, Montclair, CA 91763 Phone: 909-399-3737 Fax: 909-399-3750
Mrs. Karen R Nembhard Duran, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5206 Benito St Ste 201, Montclair, CA 91763 Phone: 909-764-8629 Fax: 800-418-1965
Elisa Veronica Lopez-garcia, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9916 Central Ave, Montclair, CA 91763 Phone: 909-450-2502
Bianca Rivera, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9916 Central Ave, Montclair, CA 91763 Phone: 909-450-2502

Kristina Woodward Mackie, MSW, LCSW - Medicare Clinical Social Worker in Montclair, CA