Mr Nino A Elizondo, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Marlboro, New York. He graduated from medical school in 2000 and has 26 years of diverse experience with area of expertise as Clinical Social Worker. His current practice location is
45 Cricchio Dr, Marlboro, New York. You can reach out to his office (for appointments etc.) via phone at
(703) 927-6322.
Mr Nino A Elizondo is licensed to practice in New York (license number 072214) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1164608188.
Healthcare Provider's Profile
| Full Name | Mr Nino A Elizondo |
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| Gender | Male |
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| Speciality | Clinical Social Worker |
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| Experience | 26 Years |
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| Location | 45 Cricchio Dr, Marlboro, New York |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Nino A Elizondo graduated from medical school in 2000
NPI Data:
- NPI Number: 1164608188
- Provider Enumeration Date: 01/22/2008
- Last Update Date: 07/08/2013
Medicare PECOS Information:
- PECOS PAC ID: 9537496104
- Enrollment ID: I20210624000225
Medical Identifiers
Medical identifiers for Mr Nino A Elizondo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1164608188 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1041C0700X | Social Worker - Clinical | 072214 (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. Mr Nino A Elizondo allows following entities to bill medicare on his behalf.
| Entity Name | Mobile Counseling Of New York Lcsw Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1700359700
PECOS PAC ID: 9234548710
Enrollment ID: O20210513001278 |
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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. Mr Nino A Elizondo 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 |
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Mr Nino A Elizondo, LCSW
45 Cricchio Dr,
Marlboro, NY 12542-6321
Ph: (703) 927-6322 | Mr Nino A Elizondo, LCSW
45 Cricchio Dr,
Marlboro, NY 12542-6321
Ph: (703) 927-6322 |
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