Miss Samantha Naomi Moon, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Oxnard, California. Her current practice location is
1911 Williams Dr Ste 200, Oxnard, California. You can reach out to her office (for appointments etc.) via phone at
(805) 981-6830.
Miss Samantha Naomi Moon is licensed to practice in California (license number 118547) 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 1457838476.
Healthcare Provider's Profile
Full Name | Miss Samantha Naomi Moon |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 1911 Williams Dr Ste 200, Oxnard, 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: 1457838476
- Provider Enumeration Date: 07/23/2018
- Last Update Date: 08/25/2024
Medicare PECOS Information:
- PECOS PAC ID: 5092255497
- Enrollment ID: I20240912001238
Medical Identifiers
Medical identifiers for Miss Samantha Naomi Moon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1457838476 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | AII057420518 (California) | Secondary |
1041C0700X | Social Worker - Clinical | 118547 (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 Samantha Naomi Moon allows following entities to bill medicare on her behalf.
Entity Name | County Of Ventura |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1629167457 PECOS PAC ID: 7911810171 Enrollment ID: O20031112000587 |
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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 Samantha Naomi Moon 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 Samantha Naomi Moon, LCSW 1911 Williams Dr Ste C, Oxnard, CA 93036-2612 Ph: (805) 616-1392 | Miss Samantha Naomi Moon, LCSW 1911 Williams Dr Ste 200, Oxnard, CA 93036-0673 Ph: (805) 981-6830 |
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