Nancy Mardis, LCSW in Lodi, CA - Medicare Social Worker Provider

Nancy Mardis, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Lodi, California. Her current practice location is 12755 N Highway 88, Lodi, California. You can reach out to her office (for appointments etc.) via phone at (209) 340-7900.

Nancy Mardis is licensed to practice in California (license number LCSW 18663) 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 1124138425.

Contact Information

	Nancy Mardis, LCSW
	12755 N Highway 88, Lodi, CA 95240-9323
	(209) 340-7900
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Nancy Mardis
Gender	Female
Speciality	Social Worker - Clinical
Location	12755 N Highway 88, Lodi, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124138425
Provider Enumeration Date: 08/30/2006
Last Update Date: 01/03/2022

Medicare PECOS Information:

PECOS PAC ID: 6002134236
Enrollment ID: I20150417001765

Medical Identifiers

Medical identifiers for Nancy Mardis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124138425	NPI	-	NPPES
2376	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LCSW 18663 (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. Nancy Mardis allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Nancy Mardis 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
Nancy Mardis, LCSW Po Box 330, Victor, CA 95253-0330 Ph: (209) 340-7900	Nancy Mardis, LCSW 12755 N Highway 88, Lodi, CA 95240-9323 Ph: (209) 340-7900

Reviews and Comments

Social Worker in Lodi, CA

Frances A Engel, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2000 W Ketteman Ln, Ste #103, Lodi, CA 95242 Phone: 209-339-3802 Fax: 209-759-9387
Rebecca Anjanette Frame, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 421 N School St, Lodi, CA 95240 Phone: 209-747-4831
Enedelia Lopez, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 13451 N Extension Rd, Lodi, CA 95242 Phone: 209-953-8301
Diana Holt, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 315 Pine St, Lodi, CA 95240 Phone: 209-366-2273 Fax: 209-366-2976
Mrs. Jenna N Santoyo, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1800 Normandy Ln, Lodi, CA 95242 Phone: 209-712-1683
Angelica Del Castillo, ASW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 123 Bing Dr, Lodi, CA 95240 Phone: 209-712-3021

Nancy Mardis, LCSW - Medicare Clinical Social Worker in Lodi, CA