Mrs Marysol Rezanov, LCSW - Medicare Clinical Social Worker in Las Vegas, NV

Mrs Marysol Rezanov, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Las Vegas, Nevada. She graduated from medical school in 2008 and has 13 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Nueva Vida Mental Health Llc and her current practice location is 4170 S Decatur Blvd Ste C1, Las Vegas, Nevada. You can reach out to her office (for appointments etc.) via phone at (702) 659-8827.

Mrs Marysol Rezanov is licensed to practice in Nevada (license number 6215-C) 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 1003127499.

Contact Information

Mrs Marysol Rezanov, LCSW
4170 S Decatur Blvd Ste C1,
Las Vegas, NV 89103-5863
(702) 659-8827
(702) 852-0984

Map and Direction




Healthcare Provider's Profile

Full NameMrs Marysol Rezanov
GenderFemale
SpecialityClinical Social Worker
Experience13 Years
Location4170 S Decatur Blvd Ste C1, Las Vegas, Nevada
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Marysol Rezanov graduated from medical school in 2008
  NPI Data:
  • NPI Number: 1003127499
  • Provider Enumeration Date: 06/30/2010
  • Last Update Date: 10/16/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 7911136056
  • Enrollment ID: I20140212000729

Medical Identifiers

Medical identifiers for Mrs Marysol Rezanov such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003127499NPI-NPPES
1598015240OtherNVGROUP NPI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 6215-C (Nevada)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Nueva Vida Mental Health Llc36787027013

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 Marysol Rezanov allows following entities to bill medicare on her behalf.
Entity NameNueva Vida Mental Health Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598015240
PECOS PAC ID: 3678702701
Enrollment ID: O20140212000603

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 Marysol Rezanov 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 AddressPractice Location Address
Mrs Marysol Rezanov, LCSW
4170 S Decatur Blvd Ste C1,
Las Vegas, NV 89103-5863

Ph: (702) 659-8827
Mrs Marysol Rezanov, LCSW
4170 S Decatur Blvd Ste C1,
Las Vegas, NV 89103-5863

Ph: (702) 659-8827

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.