Mayra Leon Fogg, is a medicare enrolled "Social Worker" provider in Visalia, California. She graduated from healthcare school in 2018 and has 8 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is
1830 S Central St, Visalia, California. You can reach out to her office (for appointments etc.) via phone at
(559) 730-2969.
Mayra Leon Fogg is licensed to practice in California (license number 105890) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1467978981.
Healthcare Provider's Profile
| Full Name | Mayra Leon Fogg |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 8 Years |
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| Location | 1830 S Central St, Visalia, California |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mayra Leon Fogg graduated from medical school in 2018
NPI Data:
- NPI Number: 1467978981
- Provider Enumeration Date: 08/16/2017
- Last Update Date: 03/06/2024
Medicare PECOS Information:
- PECOS PAC ID: 4385123579
- Enrollment ID: I20260209001296
Medical Identifiers
Medical identifiers for Mayra Leon Fogg such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1467978981 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | 105890 (California) | Primary |
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. Mayra Leon Fogg 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 |
|---|
Mayra Leon Fogg,
1830 S Central St,
Visalia, CA 93277-4418
Ph: (559) 730-2969 | Mayra Leon Fogg,
1830 S Central St,
Visalia, CA 93277-4418
Ph: (559) 730-2969 |
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