Mariola Ferenc, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Gilbert, Arizona. Her current practice location is
1760 E Pecos Rd Ste 344, Gilbert, Arizona. You can reach out to her office (for appointments etc.) via phone at
(480) 613-3817.
Mariola Ferenc is licensed to practice in Arizona (license number LCSW-22776) 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 1083259857.
Healthcare Provider's Profile
| Full Name | Mariola Ferenc |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 1760 E Pecos Rd Ste 344, Gilbert, Arizona |
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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: 1083259857
- Provider Enumeration Date: 11/15/2019
- Last Update Date: 03/31/2025
Medicare PECOS Information:
- PECOS PAC ID: 0345616223
- Enrollment ID: I20221018000928
Medical Identifiers
Medical identifiers for Mariola Ferenc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1083259857 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YP2500X | Counselor - Professional | 149.024796 (Illinois) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW-22776 (Arizona) | 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. Mariola Ferenc allows following entities to bill medicare on her behalf.
| Entity Name | Grace Integrated Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1689026148 PECOS PAC ID: 7911272901 Enrollment ID: O20170929003475 |
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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. Mariola Ferenc 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 |
Mariola Ferenc, LCSW 414 Plaza Dr Ste 301, Westmont, IL 60559-5508 Ph: (708) 745-6555 | Mariola Ferenc, LCSW 1760 E Pecos Rd Ste 344, Gilbert, AZ 85295-3208 Ph: (480) 613-3817 |
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