Miss Cheyenne Marie Pallares, MSW is a medicare enrolled "Social Worker" provider in Fresno, California. Her current practice location is
2560 W Shaw Ln Ste 104, Fresno, California. You can reach out to her office (for appointments etc.) via phone at
(559) 443-4800.
Miss Cheyenne Marie Pallares is licensed to practice in California (license number 128972) 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 1063085322.
Healthcare Provider's Profile
Full Name | Miss Cheyenne Marie Pallares |
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Gender | Female |
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Speciality | Social Worker |
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Location | 2560 W Shaw Ln Ste 104, Fresno, California |
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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: 1063085322
- Provider Enumeration Date: 07/22/2021
- Last Update Date: 03/05/2025
Medicare PECOS Information:
- PECOS PAC ID: 4981113156
- Enrollment ID: I20250530002446
Medical Identifiers
Medical identifiers for Miss Cheyenne Marie Pallares such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063085322 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | ASW102367 (California) | Secondary |
1041C0700X | Social Worker - Clinical | 102367 (California) | Secondary |
104100000X | Social Worker | 128972 (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. Miss Cheyenne Marie Pallares allows following entities to bill medicare on her behalf.
Entity Name | Grow Healthcare Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080 |
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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. Miss Cheyenne Marie Pallares 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 |
Miss Cheyenne Marie Pallares, MSW 2560 W Shaw Ln Ste 104, Fresno, CA 93711-2777 Ph: (559) 443-4800 | Miss Cheyenne Marie Pallares, MSW 2560 W Shaw Ln Ste 104, Fresno, CA 93711-2777 Ph: (559) 443-4800 |
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