Riba Khaleda Eshanzada, is a medicare enrolled "Social Worker - Clinical" provider in San Bernardino, California. Her current practice location is
290 N D St Ste 700, San Bernardino, California. You can reach out to her office (for appointments etc.) via phone at
(909) 963-5355.
Riba Khaleda Eshanzada is licensed to practice in California (license number 113709) 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 1942753157.
Healthcare Provider's Profile
Full Name | Riba Khaleda Eshanzada |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 290 N D St Ste 700, San Bernardino, 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: 1942753157
- Provider Enumeration Date: 07/25/2016
- Last Update Date: 01/14/2025
Medicare PECOS Information:
- PECOS PAC ID: 8325413230
- Enrollment ID: I20230406001988
Medical Identifiers
Medical identifiers for Riba Khaleda Eshanzada such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1942753157 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 113709 (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. Riba Khaleda Eshanzada 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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Entity Name | Cyti Health Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1679172290 PECOS PAC ID: 4587012950 Enrollment ID: O20231122002919 |
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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. Riba Khaleda Eshanzada 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 |
Riba Khaleda Eshanzada, 290 N D St Ste 700, San Bernardino, CA 92401-1705 Ph: (909) 963-5355 | Riba Khaleda Eshanzada, 290 N D St Ste 700, San Bernardino, CA 92401-1705 Ph: (909) 963-5355 |
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