Brianda Villa, LCSW 101918 in Pomona, CA - Medicare Social Worker Provider

Brianda Villa, LCSW 101918 is a medicare enrolled "Social Worker - Clinical" provider in Pomona, California. Her current practice location is 801 Corporate Center Dr Ste 202, Pomona, California. You can reach out to her office (for appointments etc.) via phone at (909) 766-7060.

Brianda Villa is licensed to practice in California (license number 101918) 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 1669925384.

Contact Information

	Brianda Villa, LCSW 101918
	801 Corporate Center Dr Ste 202, Pomona, CA 91768-2628
	(909) 766-7060
	(909) 992-3177

Map and Direction

Healthcare Provider's Profile

Full Name	Brianda Villa
Gender	Female
Speciality	Social Worker - Clinical
Location	801 Corporate Center Dr Ste 202, Pomona, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1669925384
Provider Enumeration Date: 07/28/2016
Last Update Date: 12/06/2021

Medicare PECOS Information:

PECOS PAC ID: 8224421680
Enrollment ID: I20220207001632

Medical Identifiers

Medical identifiers for Brianda Villa such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669925384	NPI	-	NPPES
1943	Other	CA	MEDICAL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	101918 (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. Brianda Villa allows following entities to bill medicare on her behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823

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. Brianda Villa 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
Brianda Villa, LCSW 101918 Po Box 1075, Ontario, CA 91762-0075 Ph: (909) 247-4651	Brianda Villa, LCSW 101918 801 Corporate Center Dr Ste 202, Pomona, CA 91768-2628 Ph: (909) 766-7060

Reviews and Comments

Social Worker in Pomona, CA

Jungmi Lee, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2008 N Garey Ave, Pomona, CA 91767 Phone: 909-623-6131
Mrs. Anakari Corona, LCSW 108934 Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2063 Rancho Valley Drive, Unit 320 #129, Pomona, CA 91766 Phone: 909-300-5148
Rosalia Jaqueline Armas I, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1900 Royalty Dr, Pomona, CA 91767 Phone: 909-766-7319
Lorena Zazueta, ASW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2008 N Garey Ave, Pomona, CA 91767 Phone: 909-623-6131 Fax: 909-865-9281
Ms. Shantell Harris, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1568 Mcleod Pl, Pomona, CA 91768 Phone: 909-620-7543
Elysa Thangchaipinyokul, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 47 Oak Cliff Dr, Pomona, CA 91766 Phone: 909-979-7184
Diana Aguayo, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1555 S Garey Ave, Pomona, CA 91766 Phone: 909-620-8088

Brianda Villa, LCSW 101918 - Medicare Clinical Social Worker in Pomona, CA