Mellissa Teresa Bonilla, LCSW is a medicare enrolled "Social Worker - Clinical" provider in San Francisco, California. She graduated from healthcare school in 2012 and has 14 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is
1001 Potrero Ave, Ward 93, San Francisco, California. You can reach out to her office (for appointments etc.) via phone at
(415) 206-8412.
Mellissa Teresa Bonilla is licensed to practice in California (license number LCSW79897) 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 1952559825.
Healthcare Provider's Profile
| Full Name | Mellissa Teresa Bonilla |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 14 Years |
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| Location | 1001 Potrero Ave, San Francisco, 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:
- Mellissa Teresa Bonilla graduated from medical school in 2012
NPI Data:
- NPI Number: 1952559825
- Provider Enumeration Date: 09/04/2008
- Last Update Date: 10/13/2022
Medicare PECOS Information:
- PECOS PAC ID: 8325415714
- Enrollment ID: I20260501002468
Medical Identifiers
Medical identifiers for Mellissa Teresa Bonilla such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1952559825 | 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 | 35973 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW79897 (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. Mellissa Teresa Bonilla 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 |
|---|
Mellissa Teresa Bonilla, LCSW
1001 Potrero Ave, Ward 93,
San Francisco, CA 94110-3518
Ph: (415) 206-8412 | Mellissa Teresa Bonilla, LCSW
1001 Potrero Ave, Ward 93,
San Francisco, CA 94110-3518
Ph: (415) 206-8412 |
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