Marisa Denise Medina, LCSW127143 - Medicare Counselor in Fontana, CA

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Marisa Denise Medina, LCSW127143 is a medicare enrolled "Social Worker - Clinical" provider in Fontana, California. Her current practice location is 17343 Anastasia Ave, Fontana, California. You can reach out to her office (for appointments etc.) via phone at (626) 201-6674.

Marisa Denise Medina is licensed to practice in California (license number LCSW127143) 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 1770757445.

Contact Information

Marisa Denise Medina, LCSW127143
17343 Anastasia Ave,
Fontana, CA 92335-4933
(626) 201-6674
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameMarisa Denise Medina
GenderFemale
SpecialitySocial Worker - Clinical
Location17343 Anastasia Ave, Fontana, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1770757445
  • Provider Enumeration Date: 04/14/2008
  • Last Update Date: 01/16/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 5698296515
  • Enrollment ID: I20250307002962

Medical Identifiers

Medical identifiers for Marisa Denise Medina such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770757445NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) (* (Not Available))Secondary
1041C0700XSocial Worker - Clinical LCSW127143 (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. Marisa Denise Medina allows following entities to bill medicare on her behalf.
Entity NameOptum Behavioral Care Of California, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417718297
PECOS PAC ID: 7810304375
Enrollment ID: O20210329001988

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. Marisa Denise Medina 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 AddressPractice Location Address
Marisa Denise Medina, LCSW127143
12813 Philadelphia St,
Whittier, CA 90601-4118

Ph: (562) 693-0400		Marisa Denise Medina, LCSW127143
17343 Anastasia Ave,
Fontana, CA 92335-4933

Ph: (626) 201-6674

Reviews and Comments


Social Worker in Fontana, CA


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.