Marissa Mireles, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Deer Park, Texas. She graduated from medical school in 2020 and has 6 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Legacy Community Health Services Inc and her current practice location is
3430 Center St, Deer Park, Texas. You can reach out to her office (for appointments etc.) via phone at
(832) 548-5000.
Marissa Mireles is licensed to practice in Texas (license number 103514) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1144942657.
Healthcare Provider's Profile
| Full Name | Marissa Mireles |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 6 Years |
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| Location | 3430 Center St, Deer Park, Texas |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Marissa Mireles graduated from medical school in 2020
NPI Data:
- NPI Number: 1144942657
- Provider Enumeration Date: 09/13/2022
- Last Update Date: 04/30/2024
Medicare PECOS Information:
- PECOS PAC ID: 8022456565
- Enrollment ID: I20240403002796
Medical Identifiers
Medical identifiers for Marissa Mireles such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1144942657 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1041C0700X | Social Worker - Clinical | 103514 (Texas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Legacy Community Health Services Inc | 7911969092 | 146 |
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. Marissa Mireles allows following entities to bill medicare on her behalf.
| Entity Name | Legacy Community Health Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1679524961 PECOS PAC ID: 7911969092 Enrollment ID: O20110706000516 |
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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. Marissa Mireles 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 |
Marissa Mireles, LCSW 3430 Center St, Deer Park, TX 77536-5056 Ph: (832) 548-5000 | Marissa Mireles, LCSW 3430 Center St, Deer Park, TX 77536-5056 Ph: (832) 548-5000 |
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