Dustina Oma Cordero, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Marysville, California. Her current practice location is
5584 Glowhaven St, Marysville, California. You can reach out to her office (for appointments etc.) via phone at
(530) 218-0314.
Dustina Oma Cordero is licensed to practice in California (license number 82175) 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 1861528176.
Healthcare Provider's Profile
| Full Name | Dustina Oma Cordero |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 5584 Glowhaven St, Marysville, 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: 1861528176
- Provider Enumeration Date: 02/23/2007
- Last Update Date: 05/12/2022
Medicare PECOS Information:
- PECOS PAC ID: 4688083496
- Enrollment ID: I20210507000578
Medical Identifiers
Medical identifiers for Dustina Oma Cordero such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1861528176 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 82175 (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. Dustina Oma Cordero allows following entities to bill medicare on her behalf.
| Entity Name | County Of Sutter |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1639397417 PECOS PAC ID: 8426035627 Enrollment ID: O20090114000026 |
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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. Dustina Oma Cordero 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 |
Dustina Oma Cordero, LCSW 5584 Glowhaven St, Marysville, CA 95901-8748 Ph: (530) 218-0314 | Dustina Oma Cordero, LCSW 5584 Glowhaven St, Marysville, CA 95901-8748 Ph: (530) 218-0314 |
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