Miss Jennifer Michelle Bazan, ACSW in Northridge, CA - Medicare Clinical Social Worker Provider

Miss Jennifer Michelle Bazan, ACSW is a medicare enrolled "Social Worker - Clinical" provider in Northridge, California. She graduated from medical school in 2021 and has 5 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is 9650 Zelzah Ave, Northridge, California. You can reach out to her office (for appointments etc.) via phone at (818) 993-9311.

Miss Jennifer Michelle Bazan is licensed to practice in California (license number 106123) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1245844653.

Contact Information

	Miss Jennifer Michelle Bazan, ACSW
	9650 Zelzah Ave, Northridge, CA 91325-2003
	(818) 993-9311
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Miss Jennifer Michelle Bazan
Gender	Female
Speciality	Clinical Social Worker
Experience	5 Years
Location	9650 Zelzah Ave, Northridge, California
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Miss Jennifer Michelle Bazan graduated from medical school in 2021

NPI Data:

NPI Number: 1245844653
Provider Enumeration Date: 09/02/2020
Last Update Date: 08/03/2026

Medicare PECOS Information:

PECOS PAC ID: 2466947494
Enrollment ID: I20251217003593

Medical Identifiers

Medical identifiers for Miss Jennifer Michelle Bazan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245844653	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	106123 (California)	Primary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
225400000X	Rehabilitation Practitioner	(* (Not Available))	Secondary

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. Miss Jennifer Michelle Bazan 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: 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. Miss Jennifer Michelle Bazan 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
Miss Jennifer Michelle Bazan, ACSW 9650 Zelzah Ave, Northridge, CA 91325-2003 Ph: (818) 993-9311	Miss Jennifer Michelle Bazan, ACSW 9650 Zelzah Ave, Northridge, CA 91325-2003 Ph: (818) 993-9311

Reviews and Comments

Social Worker in Northridge, CA

Angela Ponce, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9650 Zelzah Ave, Northridge, CA 91325 Phone: 818-993-9311
Rupal Mankassarian, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9650 Zelzah Ave, Northridge, CA 91325 Phone: 818-993-9311
Faith Lee Chin, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 9935 Lindley Ave, Northridge, CA 91325 Phone: 818-395-2557
Melissa Arce, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9650 Zelzah Ave, Northridge, CA 91325 Phone: 818-993-9311
Denice Castellon, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8550 Balboa Blvd Ste 150, Northridge, CA 91325 Phone: 818-830-0200
Jasmin Castillo, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9650 Zelzah Ave, Northridge, CA 91325 Phone: 818-993-9311
Lisa Tockman, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9650 Zelzah Ave, Northridge, CA 91325 Phone: 818-993-9311

Miss Jennifer Michelle Bazan, ACSW - Medicare Clinical Social Worker in Northridge, CA