Alejandra Noemi Mazariegos, is a medicare enrolled "Social Worker - Clinical" provider in Commerce, California. Her current practice location is
5400 E Olympic Blvd Fl Bvd1, Commerce, California. You can reach out to her office (for appointments etc.) via phone at
(323) 869-9255.
Alejandra Noemi Mazariegos is licensed to practice in California (license number 119152) 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 1568977452.
Healthcare Provider's Profile
Full Name | Alejandra Noemi Mazariegos |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 5400 E Olympic Blvd Fl Bvd1, Commerce, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1568977452
- Provider Enumeration Date: 12/13/2017
- Last Update Date: 10/15/2024
Medicare PECOS Information:
- PECOS PAC ID: 2466978267
- Enrollment ID: I20250424001816
Medical Identifiers
Medical identifiers for Alejandra Noemi Mazariegos such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1568977452 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 96358 (California) | Secondary |
104100000X | Social Worker | 96358 (California) | Secondary |
1041C0700X | Social Worker - Clinical | 96358 (California) | Secondary |
1041C0700X | Social Worker - Clinical | 119152 (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. Alejandra Noemi Mazariegos allows following entities to bill medicare on her behalf.
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
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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. Alejandra Noemi Mazariegos 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 |
Alejandra Noemi Mazariegos, 940 Avenue 64, Pasadena, CA 91105-2711 Ph: (323) 543-2800 | Alejandra Noemi Mazariegos, 5400 E Olympic Blvd Fl Bvd1, Commerce, CA 90022-5147 Ph: (323) 869-9255 |
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