Mrs Kim Chi Nang Deo, LCSW is a medicare enrolled "Counselor - Mental Health" provider in Irvine, California. Her current practice location is
17201 Mirasol, Irvine, California. You can reach out to her office (for appointments etc.) via phone at
(714) 908-6967.
Mrs Kim Chi Nang Deo is licensed to practice in California (license number ASW62609) 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 1962806430.
Healthcare Provider's Profile
Full Name | Mrs Kim Chi Nang Deo |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 17201 Mirasol, Irvine, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1962806430
- Provider Enumeration Date: 10/13/2014
- Last Update Date: 12/30/2020
Medicare PECOS Information:
- PECOS PAC ID: 2466987565
- Enrollment ID: I20241126003741
Medical Identifiers
Medical identifiers for Mrs Kim Chi Nang Deo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1962806430 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | LCSW89321 (California) | Secondary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
101YM0800X | Counselor - Mental Health | ASW62609 (California) | 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. Mrs Kim Chi Nang Deo allows following entities to bill medicare on her behalf.
Entity Name | Grow Healthcare Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080 |
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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. Mrs Kim Chi Nang Deo 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 |
Mrs Kim Chi Nang Deo, LCSW 17201 Mirasol, Irvine, CA 92620-0329 Ph: (714) 908-6967 | Mrs Kim Chi Nang Deo, LCSW 17201 Mirasol, Irvine, CA 92620-0329 Ph: (714) 908-6967 |
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