Tina Lilliedoll, in West Sacramento, CA - Medicare Social Worker Provider

Tina Lilliedoll, is a medicare enrolled "Social Worker - Clinical" provider in West Sacramento, California. Her current practice location is 500 Jefferson Blvd Ste B180, West Sacramento, California. You can reach out to her office (for appointments etc.) via phone at (916) 403-2900.

Tina Lilliedoll is licensed to practice in California (license number 97349) 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 1518177443.

Contact Information

	Tina Lilliedoll,
	500 Jefferson Blvd Ste B180, West Sacramento, CA 95605-2394
	(916) 403-2900
	(530) 204-5248

Map and Direction

Healthcare Provider's Profile

Full Name	Tina Lilliedoll
Gender	Female
Speciality	Social Worker - Clinical
Location	500 Jefferson Blvd Ste B180, West Sacramento, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518177443
Provider Enumeration Date: 05/22/2007
Last Update Date: 08/05/2025

Medicare PECOS Information:

PECOS PAC ID: 6305298522
Enrollment ID: I20240123003319

Medical Identifiers

Medical identifiers for Tina Lilliedoll such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518177443	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	97349 (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. Tina Lilliedoll allows following entities to bill medicare on her behalf.

Entity Name	Communicare Health Centers
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558366823 PECOS PAC ID: 0345299186 Enrollment ID: O20161129002365

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. Tina Lilliedoll 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
Tina Lilliedoll, Po Box 1260, Davis, CA 95617-1260 Ph: (530) 753-3498	Tina Lilliedoll, 500 Jefferson Blvd Ste B180, West Sacramento, CA 95605-2394 Ph: (916) 403-2900

Reviews and Comments

Social Worker in West Sacramento, CA

Banu Dickson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 930 Westacre Rd, West Sacramento, CA 95691 Phone: 916-375-7600
Mr. Eric Luis Salazar, MSW II Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 500 Jefferson Blvd Ste B195, West Sacramento, CA 95605 Phone: 916-403-2970
Denise I. Tillery, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 500 Jefferson Blvd, Suite 195, West Sacramento, CA 95605 Phone: 916-403-2970 Fax: 530-204-5255
Alicia Laurel Mittleman, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3880 Fowler Rd, West Sacramento, CA 95691 Phone: 916-425-7733 Fax: 916-372-2466
Mrs. Katherine Mary Soltero, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 500 Jefferson Blvd Ste B180, West Sacramento, CA 95605 Phone: 916-403-2900
Stephanie Aguilar, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 500 Jefferson Blvd, West Sacramento, CA 95605 Phone: 916-403-2900
Nancy E Tinajero, ASW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2101 Stone Blvd Ste 175, West Sacramento, CA 95691 Phone: 916-425-7733 Fax: 916-372-2466

Tina Lilliedoll, - Medicare Clinical Social Worker in West Sacramento, CA