Maricela Moran Cordova, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Los Angeles, California. Her current practice location is
4470 W Sunset Blvd Ste 107, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at
(760) 237-0112.
Maricela Moran Cordova 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 1083160477.
Healthcare Provider's Profile
| Full Name | Maricela Moran Cordova |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 4470 W Sunset Blvd Ste 107, Los Angeles, 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: 1083160477
- Provider Enumeration Date: 08/26/2016
- Last Update Date: 05/07/2024
Medicare PECOS Information:
- PECOS PAC ID: 8628415510
- Enrollment ID: I20240327003251
Medical Identifiers
Medical identifiers for Maricela Moran Cordova such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1083160477 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | (* (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. Maricela Moran Cordova 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. Maricela Moran Cordova 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 |
Maricela Moran Cordova, LCSW Po Box 732, San Marcos, CA 92079-0732 Ph: (760) 237-0112 | Maricela Moran Cordova, LCSW 4470 W Sunset Blvd Ste 107, Los Angeles, CA 90027-6309 Ph: (760) 237-0112 |
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