Sara Evangelina Medina, LCSW, LCDC in San Francisco, CA

Sara Evangelina Medina, LCSW, LCDC is a medicare enrolled "Social Worker - Clinical" provider in San Francisco, California. Her current practice location is 1 California St Ste 2300, San Francisco, California. You can reach out to her office (for appointments etc.) via phone at (281) 789-8878.

Sara Evangelina Medina is licensed to practice in Texas (license number 58861) 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 1386064152.

Contact Information

	Sara Evangelina Medina, LCSW, LCDC
	1 California St Ste 2300, San Francisco, CA 94111-5424
	(281) 789-8878
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Sara Evangelina Medina
Gender	Female
Speciality	Social Worker - Clinical
Location	1 California St Ste 2300, San Francisco, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1386064152
Provider Enumeration Date: 04/21/2014
Last Update Date: 07/02/2025

Medicare PECOS Information:

PECOS PAC ID: 2567849078
Enrollment ID: I20220520002272

Medical Identifiers

Medical identifiers for Sara Evangelina Medina such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386064152	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	58861 (Texas)	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. Sara Evangelina Medina allows following entities to bill medicare on her behalf.

Entity Name	Doctor On Demand Professionals P C
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174931448 PECOS PAC ID: 9436464567 Enrollment ID: O20230911004112

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. Sara Evangelina Medina 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
Sara Evangelina Medina, LCSW, LCDC 12955 Willow Place Dr W, #690952, Houston, TX 77070-9998 Ph: (281) 789-8878	Sara Evangelina Medina, LCSW, LCDC 1 California St Ste 2300, San Francisco, CA 94111-5424 Ph: (281) 789-8878

Reviews and Comments

Social Worker in San Francisco, CA

Adrienne Resnick Polster, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3516 Geary Blvd, San Francisco, CA 94118 Phone: 415-851-5233 Fax: 415-742-4979
Ms. Sandra Jocelynn Hall, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1748 Market St, Suite 201, San Francisco, CA 94102 Phone: 415-901-7128 Fax: 415-252-7512
Claudia Diaz, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 759 S Van Ness Ave, San Francisco, CA 94110 Phone: 415-695-6955
Alexis Stricker, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 45 Franklin St, Suite 219, San Francisco, CA 94102 Phone: 415-413-0964
Mr. Patrick Charles Kowalski, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 170 9th St, San Francisco, CA 94103 Phone: 415-777-0333 Fax: 415-869-4042
Charles Zachary Berman, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 982 Mission St, San Francisco, CA 94103 Phone: 415-597-8000 Fax: 415-597-8004
Amy Bouvin, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 815 Hyde St Ste 317, San Francisco, CA 94109 Phone: 415-347-5522

Sara Evangelina Medina, LCSW, LCDC - Medicare Clinical Social Worker in San Francisco, CA