Stephen Anthony Rivera, LCSW is a medicare enrolled "Social Worker - Clinical" provider in San Bernardino, California. His current practice location is
325 W Hospitality Ln Ste 312, San Bernardino, California. You can reach out to his office (for appointments etc.) via phone at
(866) 205-3595.
Stephen Anthony Rivera is licensed to practice in California (license number 123362) 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 1902449184.
Healthcare Provider's Profile
| Full Name | Stephen Anthony Rivera |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 325 W Hospitality Ln Ste 312, 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. |
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NPI Data:
- NPI Number: 1902449184
- Provider Enumeration Date: 10/21/2019
- Last Update Date: 10/25/2024
Medicare PECOS Information:
- PECOS PAC ID: 5496276941
- Enrollment ID: I20250312003644
Medical Identifiers
Medical identifiers for Stephen Anthony Rivera such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1902449184 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 123362 (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. Stephen Anthony Rivera allows following entities to bill medicare on his 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. Stephen Anthony Rivera 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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Stephen Anthony Rivera, LCSW
6628 Canary Pine Ave,
Rancho Cucamonga, CA 91737-4250
Ph: (909) 908-6070 | Stephen Anthony Rivera, LCSW
325 W Hospitality Ln Ste 312,
San Bernardino, CA 92408-3212
Ph: (866) 205-3595 |
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