Wanda Pathomrit, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Van Nuys, California. She graduated from healthcare school in 2015 and has 11 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Special Service For Groups Inc and her current practice location is
15350 Sherman Way Ste 200, Van Nuys, California. You can reach out to her office (for appointments etc.) via phone at
(818) 267-1100.
Wanda Pathomrit is licensed to practice in California (license number LCSW113153) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1205338639.
Healthcare Provider's Profile
| Full Name | Wanda Pathomrit |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 11 Years |
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| Location | 15350 Sherman Way Ste 200, Van Nuys, California |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Wanda Pathomrit graduated from medical school in 2015
NPI Data:
- NPI Number: 1205338639
- Provider Enumeration Date: 03/01/2018
- Last Update Date: 02/28/2023
Medicare PECOS Information:
- PECOS PAC ID: 0345605689
- Enrollment ID: I20230420001872
Medical Identifiers
Medical identifiers for Wanda Pathomrit such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1205338639 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | ACSW106131 (California) | Secondary |
| 101YM0800X | Counselor - Mental Health | 69847 (California) | Secondary |
| 225400000X | Rehabilitation Practitioner | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW113153 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Special Service For Groups Inc | 2769396886 | 51 |
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. Wanda Pathomrit allows following entities to bill medicare on her behalf.
| Entity Name | Special Service For Groups |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1952442949
PECOS PAC ID: 2769396886
Enrollment ID: O20031113000561 |
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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. Wanda Pathomrit 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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Wanda Pathomrit, LCSW
15350 Sherman Way Ste 200,
Van Nuys, CA 91406-4458
Ph: () - | Wanda Pathomrit, LCSW
15350 Sherman Way Ste 200,
Van Nuys, CA 91406-4458
Ph: (818) 267-1100 |
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