Mrs Theppharack Ad Sounthala, MSW in Modesto, CA - Medicare Social Worker Provider

Mrs Theppharack Ad Sounthala, MSW is a medicare enrolled "Social Worker - Clinical" provider in Modesto, California. Her current practice location is 251 E Hackett Rd, Modesto, California. You can reach out to her office (for appointments etc.) via phone at (209) 558-2699.

Mrs Theppharack Ad Sounthala is licensed to practice in California (license number LCSW26225) 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 1083745780.

Contact Information

	Mrs Theppharack Ad Sounthala, MSW
	251 E Hackett Rd, Modesto, CA 95358-9415
	(209) 558-2699
	(209) 558-1075

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Theppharack Ad Sounthala
Gender	Female
Speciality	Social Worker - Clinical
Location	251 E Hackett Rd, Modesto, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083745780
Provider Enumeration Date: 03/07/2007
Last Update Date: 06/02/2022

Medicare PECOS Information:

PECOS PAC ID: 6800921719
Enrollment ID: I20100317000757

Medical Identifiers

Medical identifiers for Mrs Theppharack Ad Sounthala such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083745780	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LCSW26225 (California)	Primary
101YP2500X	Counselor - Professional	LCS 26225 (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 Theppharack Ad Sounthala allows following entities to bill medicare on her behalf.

Entity Name	Golden Valley Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356445753 PECOS PAC ID: 4183527187 Enrollment ID: O20040128000641

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 Theppharack Ad Sounthala 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 Theppharack Ad Sounthala, MSW 251 E Hackett Rd, Modesto, CA 95358-9415 Ph: (209) 558-2699	Mrs Theppharack Ad Sounthala, MSW 251 E Hackett Rd, Modesto, CA 95358-9415 Ph: (209) 558-2699

Reviews and Comments

Social Worker in Modesto, CA

Mr. William Leon Boddie Ii, L.C.S.W Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1524 Mchenry Ave, Suite # 450, Modesto, CA 95350 Phone: 209-557-6217 Fax: 209-557-9032
Diana Faith Kigenyi, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1225 Oakdale Road, Modesto, CA 95355 Phone: 209-557-6200
Ms. Shamerin Bourang, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1225 Oakdale Rd, Modesto, CA 95355 Phone: 209-557-6213
Mrs. Maria Edith Martinez, MSW,ASW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2000 W Briggsmore Ave Ste I, Modesto, CA 95350 Phone: 209-526-1476
Paul Samuel Crenshaw, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 726 14th St Ste A, Modesto, CA 95354 Phone: 209-614-1440
Erika Navarro, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1866 Maria Ct, Modesto, CA 95354 Phone: 209-531-4268
Nancy Claire Griggs, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1015 12th St Ste 7, Modesto, CA 95354 Phone: 209-324-5560

Mrs Theppharack Ad Sounthala, MSW - Medicare Clinical Social Worker in Modesto, CA