Mrs Kristen Rene Bustillos Fragoso, MSW in Fillmore, CA

Mrs Kristen Rene Bustillos Fragoso, MSW is a medicare enrolled "Social Worker - Clinical" provider in Fillmore, California. Her current practice location is 425 Edgewood Dr, Fillmore, California. You can reach out to her office (for appointments etc.) via phone at (818) 356-5942.

Mrs Kristen Rene Bustillos Fragoso is licensed to practice in California (license number 100098) 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 1013447457.

Contact Information

	Mrs Kristen Rene Bustillos Fragoso, MSW
	425 Edgewood Dr, Fillmore, CA 93015-1846
	(818) 356-5942
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Kristen Rene Bustillos Fragoso
Gender	Female
Speciality	Social Worker - Clinical
Location	425 Edgewood Dr, Fillmore, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013447457
Provider Enumeration Date: 06/18/2017
Last Update Date: 05/22/2023

Medicare PECOS Information:

PECOS PAC ID: 8224568357
Enrollment ID: I20250205000908

Medical Identifiers

Medical identifiers for Mrs Kristen Rene Bustillos Fragoso such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013447457	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	(* (Not Available))	Secondary
1041C0700X	Social Worker - Clinical	100098 (California)	Primary
101YM0800X	Counselor - Mental Health	ACSW78038 (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. Mrs Kristen Rene Bustillos Fragoso allows following entities to bill medicare on her behalf.

Entity Name	Sud Specialty Group - Ca
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972138238 PECOS PAC ID: 9537534177 Enrollment ID: O20230412001370

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 Kristen Rene Bustillos Fragoso 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 Kristen Rene Bustillos Fragoso, MSW 425 Edgewood Dr, Fillmore, CA 93015-1846 Ph: (818) 356-5942	Mrs Kristen Rene Bustillos Fragoso, MSW 425 Edgewood Dr, Fillmore, CA 93015-1846 Ph: (818) 356-5942

Reviews and Comments

Social Worker in Fillmore, CA

Gabriela Jasso Tapia, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 828 W Ventura St Ste 240, Fillmore, CA 93015 Phone: 805-524-8659
Maria G Hurtado, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 828 W Ventura St Ste 240, Fillmore, CA 93015 Phone: 805-524-8660 Fax: 808-524-8655
Ms. Laura Guerra, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 828 W Ventura St Ste 240, Fillmore, CA 93015 Phone: 805-524-8660 Fax: 805-524-8655
Lilia Trujillo, MSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 828 W Ventura St Ste 240, Fillmore, CA 93015 Phone: 805-524-8664 Fax: 805-524-8655

Mrs Kristen Rene Bustillos Fragoso, MSW - Medicare Clinical Social Worker in Fillmore, CA