Marlen Rodriguez-sandoval, in Dalton, GA - Medicare Social Worker Provider

Marlen Rodriguez-sandoval, is a medicare enrolled "Social Worker - Clinical" provider in Dalton, Georgia. Her current practice location is 710 S Thornton Ave Ste F, Dalton, Georgia. You can reach out to her office (for appointments etc.) via phone at (706) 618-1552.

Marlen Rodriguez-sandoval is licensed to practice in Georgia (license number CSW006898) 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 1194448423.

Contact Information

	Marlen Rodriguez-sandoval,
	710 S Thornton Ave Ste F, Dalton, GA 30720-8421
	(706) 618-1552
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Marlen Rodriguez-sandoval
Gender	Female
Speciality	Social Worker - Clinical
Location	710 S Thornton Ave Ste F, Dalton, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194448423
Provider Enumeration Date: 09/21/2022
Last Update Date: 09/21/2022

Medicare PECOS Information:

PECOS PAC ID: 4981077435
Enrollment ID: I20230302001962

Medical Identifiers

Medical identifiers for Marlen Rodriguez-sandoval such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194448423	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	CSW006898 (Georgia)	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. Marlen Rodriguez-sandoval allows following entities to bill medicare on her behalf.

Entity Name	Modern Jane Solutions
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104549807 PECOS PAC ID: 3577934538 Enrollment ID: O20230130002223

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. Marlen Rodriguez-sandoval 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
Marlen Rodriguez-sandoval, 710 S Thornton Ave Ste F, Dalton, GA 30720-8421 Ph: () -	Marlen Rodriguez-sandoval, 710 S Thornton Ave Ste F, Dalton, GA 30720-8421 Ph: (706) 618-1552

Reviews and Comments

Social Worker in Dalton, GA

Steven Cooper, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 710 S Thornton Ave Ste F, Dalton, GA 30720 Phone: 706-934-1816
Ms. Ann H Davies, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 900 Shugart Rd, Dalton, GA 30720 Phone: 706-270-5100 Fax: 706-270-5066
Ashley Smith, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 900 Shugart Rd, Dalton, GA 30720 Phone: 706-270-5005
Hannah Boston Ryan, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 900 Shugart Rd, Dalton, GA 30720 Phone: 706-270-5005
Karen M. Allen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 306 N Thornton Ave, Dalton, GA 30720 Phone: 706-509-0130 Fax: 706-237-6503
Lisa Free, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1401 Applewood Dr, Suite 3, Dalton, GA 30720 Phone: 706-270-5033

Marlen Rodriguez-sandoval, - Medicare Clinical Social Worker in Dalton, GA