Myriam Cubillo, LCSW in San Bernardino, CA - Medicare Social Worker Provider

Myriam Cubillo, LCSW is a medicare enrolled "Social Worker - Clinical" provider in San Bernardino, California. Her current practice location is 550 E Hospitality Ln Ste 100, San Bernardino, California. You can reach out to her office (for appointments etc.) via phone at (714) 795-7493.

Myriam Cubillo is licensed to practice in California (license number 80882) 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 1801379672.

Contact Information

	Myriam Cubillo, LCSW
	550 E Hospitality Ln Ste 100, San Bernardino, CA 92408-4205
	(714) 795-7493
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Myriam Cubillo
Gender	Female
Speciality	Social Worker - Clinical
Location	550 E Hospitality Ln Ste 100, San Bernardino, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1801379672
Provider Enumeration Date: 09/07/2018
Last Update Date: 04/03/2021

Medicare PECOS Information:

PECOS PAC ID: 7214466291
Enrollment ID: I20250121000294

Medical Identifiers

Medical identifiers for Myriam Cubillo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801379672	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	80882 (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. Myriam Cubillo allows following entities to bill medicare on her behalf.

Entity Name	High Desert Psychological Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104463371 PECOS PAC ID: 2860819125 Enrollment ID: O20200901001503

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. Myriam Cubillo 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
Myriam Cubillo, LCSW Po Box 577572, Modesto, CA 95357-7572 Ph: () -	Myriam Cubillo, LCSW 550 E Hospitality Ln Ste 100, San Bernardino, CA 92408-4205 Ph: (714) 795-7493

Reviews and Comments

Social Worker in San Bernardino, CA

Ms. Crystal Lynn Blakkan, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1738 N Waterman Ave, San Bernardino, CA 92404 Phone: 909-693-3302
Emily J. Taylor, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1255 E Highland Ave Ste 107, San Bernardino, CA 92404 Phone: 909-648-7643
Enas Joseph, MSW LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 700 E Gilbert St, San Bernardino, CA 92415 Phone: 909-387-6940
Monique Castaneda, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 820 E Gilbert St, San Bernardino, CA 92415 Phone: 909-387-7200
Susan Kimberly Gilliam, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2080 S E St, San Bernardino, CA 92408 Phone: 909-388-9191
Rajvi Patel, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1738 N Waterman Ave, San Bernardino, CA 92404 Phone: 909-693-3302
Dr. Ray Everett Liles, DSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1255 E Highland Ave Ste 107, San Bernardino, CA 92404 Phone: 909-645-8579

Myriam Cubillo, LCSW - Medicare Clinical Social Worker in San Bernardino, CA