Gloria Susana Mendez, in Los Angeles, CA - Medicare Social Worker Provider

Gloria Susana Mendez, is a medicare enrolled "Social Worker - Clinical" provider in Los Angeles, California. Her current practice location is 3303 N Broadway, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (323) 478-8200.

Gloria Susana Mendez is licensed to practice in * (Not Available) (license number 111596) 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 1457834756.

Contact Information

	Gloria Susana Mendez,
	3303 N Broadway, Los Angeles, CA 90031-2803
	(323) 478-8200
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Gloria Susana Mendez
Gender	Female
Speciality	Social Worker - Clinical
Location	3303 N Broadway, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457834756
Provider Enumeration Date: 09/12/2018
Last Update Date: 12/29/2022

Medicare PECOS Information:

PECOS PAC ID: 8527416346
Enrollment ID: I20231204002811

Medical Identifiers

Medical identifiers for Gloria Susana Mendez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457834756	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	91933 (* (Not Available))	Secondary
104100000X	Social Worker	111596 (California)	Secondary
1041C0700X	Social Worker - Clinical	(* (Not Available))	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
1041C0700X	Social Worker - Clinical	111596 (* (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. Gloria Susana Mendez allows following entities to bill medicare on her behalf.

Entity Name	Los Angeles County Department Of Mental Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083633929 PECOS PAC ID: 7416869896 Enrollment ID: O20031104000319

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. Gloria Susana Mendez 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
Gloria Susana Mendez, 3303 N Broadway, Los Angeles, CA 90031-2803 Ph: () -	Gloria Susana Mendez, 3303 N Broadway, Los Angeles, CA 90031-2803 Ph: (323) 478-8200

Gloria Susana Mendez, - Medicare Counselor in Los Angeles, CA