Miss Jessica Lauren Homaizad, is a medicare enrolled "Social Worker - Clinical" provider in Long Beach, California. Her current practice location is
4525 E Atherton St Fl 2, Long Beach, California. You can reach out to her office (for appointments etc.) via phone at
(562) 961-0155.
Miss Jessica Lauren Homaizad is licensed to practice in California (license number LCSW123821) 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 1437811056.
Healthcare Provider's Profile
| Full Name | Miss Jessica Lauren Homaizad |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 4525 E Atherton St Fl 2, Long Beach, 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: 1437811056
- Provider Enumeration Date: 10/11/2021
- Last Update Date: 03/04/2025
Medicare PECOS Information:
- PECOS PAC ID: 6507387479
- Enrollment ID: I20250307001060
Medical Identifiers
Medical identifiers for Miss Jessica Lauren Homaizad such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1437811056 | NPI | - | NPPES |
| NCF10620087 | Other | CA | ANTHEM BLUE CROSS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | ASW98850 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW123821 (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 Jessica Lauren Homaizad allows following entities to bill medicare on her behalf.
| Entity Name | The Roads Foundation, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1508278359
PECOS PAC ID: 2961722558
Enrollment ID: O20150521002128 |
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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 Jessica Lauren Homaizad 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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Miss Jessica Lauren Homaizad,
1508 Caddington Dr,
Rancho Palos Verdes, CA 90275-1845
Ph: (310) 850-6876 | Miss Jessica Lauren Homaizad,
4525 E Atherton St Fl 2,
Long Beach, CA 90815-3700
Ph: (562) 961-0155 |
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