Shizatiz Guerrero, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Rancho Cucamonga, California. Her current practice location is
9500 Haven Ave, Rancho Cucamonga, California. You can reach out to her office (for appointments etc.) via phone at
(909) 980-6700.
Shizatiz Guerrero is licensed to practice in California (license number 105445) 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 1861938557.
Healthcare Provider's Profile
Full Name | Shizatiz Guerrero |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 9500 Haven Ave, Rancho Cucamonga, 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: 1861938557
- Provider Enumeration Date: 01/18/2017
- Last Update Date: 12/28/2023
Medicare PECOS Information:
- PECOS PAC ID: 6103348750
- Enrollment ID: I20250324001970
Medical Identifiers
Medical identifiers for Shizatiz Guerrero such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1861938557 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 84252 (California) | Secondary |
171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 105445 (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. Shizatiz Guerrero allows following entities to bill medicare on her behalf.
Entity Name | High Desert Psychological Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1104463371 PECOS PAC ID: 2860819125 Enrollment ID: O20200901001503 |
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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. Shizatiz Guerrero 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 |
Shizatiz Guerrero, LCSW 1104 S Pricedale Ave, West Covina, CA 91790-5235 Ph: (626) 250-3291 | Shizatiz Guerrero, LCSW 9500 Haven Ave, Rancho Cucamonga, CA 91730 Ph: (909) 980-6700 |
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