Susan Lynn Cordero, is a medicare enrolled "Social Worker - Clinical" provider in San Jose, California. Her current practice location is
160 E Virginia St Ste 100, San Jose, California. You can reach out to her office (for appointments etc.) via phone at
(408) 938-2113.
Susan Lynn Cordero is licensed to practice in California (license number 95913) 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 1952966004.
Healthcare Provider's Profile
| Full Name | Susan Lynn Cordero |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 160 E Virginia St Ste 100, San Jose, 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: 1952966004
- Provider Enumeration Date: 05/03/2019
- Last Update Date: 03/28/2023
Medicare PECOS Information:
- PECOS PAC ID: 4880119643
- Enrollment ID: I20250415001632
Medical Identifiers
Medical identifiers for Susan Lynn Cordero such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1952966004 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 95913 (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. Susan Lynn Cordero allows following entities to bill medicare on her behalf.
| Entity Name | Permanente Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710 |
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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. Susan Lynn Cordero 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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Susan Lynn Cordero,
160 E Virginia St Ste 100,
San Jose, CA 95112-5865
Ph: (408) 938-2113 | Susan Lynn Cordero,
160 E Virginia St Ste 100,
San Jose, CA 95112-5865
Ph: (408) 938-2113 |
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