Mr Phillip George Tardanico, LCSW 69611 in Victorville, CA

Mr Phillip George Tardanico, LCSW 69611 is a medicare enrolled "Social Worker - Clinical" provider in Victorville, California. His current practice location is 15000 Seventh St Ste 209, Victorville, California. You can reach out to his office (for appointments etc.) via phone at (760) 217-9527.

Mr Phillip George Tardanico is licensed to practice in California (license number LCSW69611) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1063871291.

Contact Information

	Mr Phillip George Tardanico, LCSW 69611
	15000 Seventh St Ste 209, Victorville, CA 92395-3853
	(760) 217-9527
	(442) 267-5623

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Phillip George Tardanico
Gender	Male
Speciality	Social Worker - Clinical
Location	15000 Seventh St Ste 209, Victorville, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063871291
Provider Enumeration Date: 02/16/2016
Last Update Date: 06/04/2024

Medicare PECOS Information:

PECOS PAC ID: 0547502270
Enrollment ID: I20190430001195

Medical Identifiers

Medical identifiers for Mr Phillip George Tardanico such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063871291	NPI	-	NPPES
800682649	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LCSW69611 (California)	Primary
101YA0400X	Counselor - Addiction (substance Use Disorder)	A01210315 (California)	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. Mr Phillip George Tardanico allows following entities to bill medicare on his behalf.

Entity Name	Phillip Tardanico, Licensed Clinical Social Worker & Associates, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063020717 PECOS PAC ID: 2860913597 Enrollment ID: O20250310003131

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 Phillip George Tardanico 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
Mr Phillip George Tardanico, LCSW 69611 15000 Seventh St Ste 209, Victorville, CA 92395-3853 Ph: (760) 217-9527	Mr Phillip George Tardanico, LCSW 69611 15000 Seventh St Ste 209, Victorville, CA 92395-3853 Ph: (760) 217-9527

Reviews and Comments

Social Worker in Victorville, CA

Jessica Morales Sanchez, ACSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 14598 Seventh St Ste B, Victorville, CA 92395 Phone: 909-825-7084
Christopher Lee Fadness, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 15095 Amargosa Rd Ste 107, Victorville, CA 92394 Phone: 760-955-9703
Myra Dina Lopez, ACSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 15434 W Sage St, Victorville, CA 92392 Phone: 760-843-0506 Fax: 760-843-0507
Mrs. Michelle Allen, MASTER SOCIAL WORK Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 15095 Amargosa Rd Ste 205, Victorville, CA 92394 Phone: 760-217-3267
Jacquelyn Renee Williams Brooks, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 15497 W Sand St, Victorville, CA 92392 Phone: 760-875-5000
Eric Bahra, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 14390 Park Ave, Victorville, CA 92392 Phone: 714-290-3009

Mr Phillip George Tardanico, LCSW 69611 - Medicare Clinical Social Worker in Victorville, CA