Blanca Yvette Villa, ASW is a medicare enrolled "Social Worker - Clinical" provider in Campbell, California. Her current practice location is
1600 W Campbell Ave, Suite 102, Campbell, California. You can reach out to her office (for appointments etc.) via phone at
(408) 871-4917.
Blanca Yvette Villa is licensed to practice in * (Not Available) (license number ) 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 1518318872.
Healthcare Provider's Profile
| Full Name | Blanca Yvette Villa |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 1600 W Campbell Ave, Campbell, California |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1518318872
- Provider Enumeration Date: 06/28/2016
- Last Update Date: 01/03/2022
Medicare PECOS Information:
- PECOS PAC ID: 1254872419
- Enrollment ID: I20240916002799
Medical Identifiers
Medical identifiers for Blanca Yvette Villa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1518318872 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | 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. Blanca Yvette Villa 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 |
|---|
| Entity Name | Grow Healthcare Group Pc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1154994846
PECOS PAC ID: 1850774746
Enrollment ID: O20220809004080 |
|---|
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. Blanca Yvette Villa 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 |
|---|
Blanca Yvette Villa, ASW
1600 W Campbell Ave, Suite 102,
Campbell, CA 95008-1526
Ph: (408) 871-4917 | Blanca Yvette Villa, ASW
1600 W Campbell Ave, Suite 102,
Campbell, CA 95008-1526
Ph: (408) 871-4917 |
Reviews and Comments