Myrna Macias-prado, is a medicare enrolled "Social Worker - Clinical" provider in Upland, California. Her current practice location is
1425 W Foothill Blvd Ste 310, Upland, California. You can reach out to her office (for appointments etc.) via phone at
(909) 347-9272.
Myrna Macias-prado is licensed to practice in California (license number LCSW103066) 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 1922357466.
Healthcare Provider's Profile
| Full Name | Myrna Macias-prado |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 1425 W Foothill Blvd Ste 310, Upland, 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: 1922357466
- Provider Enumeration Date: 08/30/2012
- Last Update Date: 08/19/2021
Medicare PECOS Information:
- PECOS PAC ID: 0749717858
- Enrollment ID: I20241231000336
Medical Identifiers
Medical identifiers for Myrna Macias-prado such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1922357466 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | ASW71519 (California) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW103066 (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. Myrna Macias-prado allows following entities to bill medicare on her behalf.
| Entity Name | Southern California Permanente Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1316979834
PECOS PAC ID: 6002729175
Enrollment ID: O20040126000823 |
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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. Myrna Macias-prado 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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Myrna Macias-prado,
27261 Las Ramblas Ste 220,
Mission Viejo, CA 92691-6468
Ph: () - | Myrna Macias-prado,
1425 W Foothill Blvd Ste 310,
Upland, CA 91786-8007
Ph: (909) 347-9272 |
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