Amanda Lucero Bertoldo, LCSW - Medicare in Riverside, CA

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Amanda Lucero Bertoldo, LCSW is a medicare enrolled "Counselor - Mental Health" provider in Riverside, California. Her current practice location is 3125 Myers St, Riverside, California. You can reach out to her office (for appointments etc.) via phone at (951) 358-4840.

Amanda Lucero Bertoldo is licensed to practice in California (license number ASW68317) 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 1114367687.

Contact Information

Amanda Lucero Bertoldo, LCSW
3125 Myers St,
Riverside, CA 92503-5527
(951) 358-4840
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameAmanda Lucero Bertoldo
GenderFemale
SpecialityCounselor - Mental Health
Location3125 Myers St, Riverside, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1114367687
  • Provider Enumeration Date: 06/28/2013
  • Last Update Date: 02/09/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6406264068
  • Enrollment ID: I20210420001199

Medical Identifiers

Medical identifiers for Amanda Lucero Bertoldo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114367687NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 94532 (California)Secondary
101YM0800XCounselor - Mental Health ASW68317 (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. Amanda Lucero Bertoldo allows following entities to bill medicare on her behalf.
Entity NameKemp Individual & Family Therapy Inc.
Entity TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Entity IdentifiersNPI Number: 1043759491
PECOS PAC ID: 2769721893
Enrollment ID: O20190306003080
Entity NameHigh Desert Psychological Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104463371
PECOS PAC ID: 2860819125
Enrollment ID: O20200901001503

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. Amanda Lucero Bertoldo 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 AddressPractice Location Address
Amanda Lucero Bertoldo, LCSW
14075 Hesperia Rd.,
Hesperia, CA 92345

Ph: (760) 810-0000		Amanda Lucero Bertoldo, LCSW
3125 Myers St,
Riverside, CA 92503-5527

Ph: (951) 358-4840

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.