Mariza Elizabeth Mendoza Magana, is a medicare enrolled "Social Worker - Clinical" provider in San Jose, California. Her current practice location is
160 E Virginia St Ste 100, San Jose, California. You can reach out to her office (for appointments etc.) via phone at
(408) 977-1591.
Mariza Elizabeth Mendoza Magana is licensed to practice in California (license number 126323) 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 1477099059.
Healthcare Provider's Profile
| Full Name | Mariza Elizabeth Mendoza Magana |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 160 E Virginia St Ste 100, San Jose, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1477099059
- Provider Enumeration Date: 01/06/2017
- Last Update Date: 01/07/2025
Medicare PECOS Information:
- PECOS PAC ID: 5991233561
- Enrollment ID: I20250109002654
Medical Identifiers
Medical identifiers for Mariza Elizabeth Mendoza Magana such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1477099059 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | 104035 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | 126323 (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. Mariza Elizabeth Mendoza Magana allows following entities to bill medicare on her behalf.
| Entity Name | Gardner Family Health Network Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1699841528
PECOS PAC ID: 5890859375
Enrollment ID: O20191217001965 |
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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. Mariza Elizabeth Mendoza Magana 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 |
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Mariza Elizabeth Mendoza Magana,
160 E Virginia St Ste 100,
San Jose, CA 95112-5865
Ph: (408) 977-1591 | Mariza Elizabeth Mendoza Magana,
160 E Virginia St Ste 100,
San Jose, CA 95112-5865
Ph: (408) 977-1591 |
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