Kayla Tarazona, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Washington, New Jersey. Her current practice location is
62 Brass Castle Rd, Washington, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(908) 627-0605.
Kayla Tarazona is licensed to practice in New Jersey (license number 44SC06398100) 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 1013552538.
Healthcare Provider's Profile
Full Name | Kayla Tarazona |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 62 Brass Castle Rd, Washington, New Jersey |
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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: 1013552538
- Provider Enumeration Date: 11/07/2019
- Last Update Date: 10/07/2024
Medicare PECOS Information:
- PECOS PAC ID: 1951821560
- Enrollment ID: I20250226002769
Medical Identifiers
Medical identifiers for Kayla Tarazona such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1013552538 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
104100000X | Social Worker | 44SL06671300 (New Jersey) | Secondary |
1041C0700X | Social Worker - Clinical | 44SC06398100 (New Jersey) | 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. Kayla Tarazona allows following entities to bill medicare on her behalf.
Entity Name | Lakeside Counseling Associates, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1578010674 PECOS PAC ID: 0840568754 Enrollment ID: O20170619001045 |
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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. Kayla Tarazona 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 |
Kayla Tarazona, LCSW 62 Brass Castle Rd, Washington, NJ 07882-4329 Ph: (908) 627-0605 | Kayla Tarazona, LCSW 62 Brass Castle Rd, Washington, NJ 07882-4329 Ph: (908) 627-0605 |
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