Paul Maldonado, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Rialto, California. His current practice location is
850 E Foothill Blvd, Rialto, California. You can reach out to his office (for appointments etc.) via phone at
(909) 421-9301.
Paul Maldonado is licensed to practice in California (license number 102948) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1396198941.
Healthcare Provider's Profile
| Full Name | Paul Maldonado |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 850 E Foothill Blvd, Rialto, 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: 1396198941
- Provider Enumeration Date: 07/19/2016
- Last Update Date: 08/06/2021
Medicare PECOS Information:
- PECOS PAC ID: 5799171831
- Enrollment ID: I20220330000121
Medical Identifiers
Medical identifiers for Paul Maldonado such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1396198941 | NPI | - | NPPES |
| 101YM0800X | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | 102948 (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. Paul Maldonado allows following entities to bill medicare on his behalf.
| Entity Name | County Of San Bernardino |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1164467023 PECOS PAC ID: 3870499130 Enrollment ID: O20031209000420 |
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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. Paul Maldonado 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 |
Paul Maldonado, LCSW 850 E Foothill Blvd, Rialto, CA 92376-5230 Ph: (909) 421-9301 | Paul Maldonado, LCSW 850 E Foothill Blvd, Rialto, CA 92376-5230 Ph: (909) 421-9301 |
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