Amalia Maya Lastra, in Modesto, CA - Medicare Social Worker Provider

Amalia Maya Lastra, is a medicare enrolled "Social Worker - Clinical" provider in Modesto, California. Her current practice location is 800 Scenic Dr, Modesto, California. You can reach out to her office (for appointments etc.) via phone at (209) 605-5543.

Amalia Maya Lastra is licensed to practice in California (license number 101067) 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 1871001024.

Contact Information

	Amalia Maya Lastra,
	800 Scenic Dr, Modesto, CA 95350-6131
	(209) 605-5543
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Amalia Maya Lastra
Gender	Female
Speciality	Social Worker - Clinical
Location	800 Scenic Dr, Modesto, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1871001024
Provider Enumeration Date: 01/22/2018
Last Update Date: 02/03/2022

Medicare PECOS Information:

PECOS PAC ID: 6608246178
Enrollment ID: I20221227000358

Medical Identifiers

Medical identifiers for Amalia Maya Lastra such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871001024	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	101067 (California)	Primary
104100000X	Social Worker	ASW76891 (California)	Secondary
101YP2500X	Counselor - Professional	ASW76891 (California)	Secondary

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. Amalia Maya Lastra allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Amalia Maya Lastra 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
Amalia Maya Lastra, Po Box 1859, Modesto, CA 95353-1859 Ph: () -	Amalia Maya Lastra, 800 Scenic Dr, Modesto, CA 95350-6131 Ph: (209) 605-5543

Reviews and Comments

Social Worker in Modesto, CA

Leticia Gomez, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1604 Ford Ave Ste 9, Modesto, CA 95350 Phone: 209-353-2522
Mr. William Leon Boddie Ii, L.C.S.W Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1524 Mchenry Ave, Suite # 450, Modesto, CA 95350 Phone: 209-557-6217 Fax: 209-557-9032
Diana Faith Kigenyi, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1225 Oakdale Road, Modesto, CA 95355 Phone: 209-557-6200
Ms. Shamerin Bourang, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1225 Oakdale Rd, Modesto, CA 95355 Phone: 209-557-6213
Mrs. Maria Edith Martinez, MSW,ASW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2000 W Briggsmore Ave Ste I, Modesto, CA 95350 Phone: 209-526-1476
Paul Samuel Crenshaw, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 726 14th St Ste A, Modesto, CA 95354 Phone: 209-614-1440
Erika Navarro, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1866 Maria Ct, Modesto, CA 95354 Phone: 209-531-4268

Amalia Maya Lastra, - Medicare Clinical Social Worker in Modesto, CA