Angelina Serrano, is a medicare enrolled "Speech-language Pathologist" provider in Superior, Arizona. Her current practice location is
571 W Gibbs St, Superior, Arizona. You can reach out to her office (for appointments etc.) via phone at
(480) 620-2775.
Angelina Serrano is licensed to practice in Arizona (license number ) 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 1205237807.
Healthcare Provider's Profile
| Full Name | Angelina Serrano |
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| Gender | Female |
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| Speciality | Speech-language Pathologist |
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| Location | 571 W Gibbs St, Superior, Arizona |
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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: 1205237807
- Provider Enumeration Date: 09/15/2014
- Last Update Date: 09/15/2014
Medicare PECOS Information:
- PECOS PAC ID: 2668884529
- Enrollment ID: I20201217001009
Medical Identifiers
Medical identifiers for Angelina Serrano such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1205237807 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 235Z00000X | Speech-language Pathologist | (Arizona) | 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. Angelina Serrano allows following entities to bill medicare on her behalf.
| Provider Name | Theracare Pllc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1962784249
PECOS PAC ID: 9830437433
Enrollment ID: O20190206001321 |
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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. Angelina Serrano 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 |
|---|
Angelina Serrano,
571 W Gibbs St,
Superior, AZ 85173-4005
Ph: (480) 620-2775 | Angelina Serrano,
571 W Gibbs St,
Superior, AZ 85173-4005
Ph: (480) 620-2775 |
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