Celene Medina-amador, in Yucaipa, CA - Medicare Clinical Social Worker Provider

Celene Medina-amador, is a medicare enrolled "Social Worker - Clinical" provider in Yucaipa, California. She graduated from medical school in 2018 and has 6 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Southern California Permanente Medical Group and her current practice location is 12219 5th St, Yucaipa, California. You can reach out to her office (for appointments etc.) via phone at (909) 583-3113.

Celene Medina-amador is licensed to practice in California (license number 101323) 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 1972270346.

Contact Information

	Celene Medina-amador,
	12219 5th St, Yucaipa, CA 92399-2483
	(909) 583-3113
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Celene Medina-amador
Gender	Female
Speciality	Clinical Social Worker
Experience	6 Years
Location	12219 5th St, Yucaipa, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Celene Medina-amador graduated from medical school in 2018

NPI Data:

NPI Number: 1972270346
Provider Enumeration Date: 08/24/2021
Last Update Date: 12/31/2021

Medicare PECOS Information:

PECOS PAC ID: 0648665844
Enrollment ID: I20220325001673

Medical Identifiers

Medical identifiers for Celene Medina-amador such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972270346	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	101323 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southern California Permanente Medical Group	6002729175	8172

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. Celene Medina-amador 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. Celene Medina-amador 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
Celene Medina-amador, 12219 5th St, Yucaipa, CA 92399-2483 Ph: (909) 583-3113	Celene Medina-amador, 12219 5th St, Yucaipa, CA 92399-2483 Ph: (909) 583-3113

Reviews and Comments

Social Worker in Yucaipa, CA

Alice Bass, LCSW, PPS Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 13340 California St Ste F, Yucaipa, CA 92399 Phone: 909-327-6836 Fax: 909-316-4443
Carrie Eskay, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 12202 1st St, Yucaipa, CA 92399 Phone: 909-556-5842
Chelsea Grenfell, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10776 Fremont St, Yucaipa, CA 92399 Phone: 909-797-0114
Nicole Sorrent, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 35595 Rancho Rd, Yucaipa, CA 92399 Phone: 843-592-1054
Zulema Moore, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 34072 Lily Rd, Yucaipa, CA 92399 Phone: 909-583-4618
Ms. Nicole R Hughes-burchmore, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12644 Columbia Ave, Yucaipa, CA 92399 Phone: 909-446-1679
Mr. Grant Kono, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 35249 Yucaipa Blvd Ste B, Yucaipa, CA 92399 Phone: 909-266-1050 Fax: 909-266-1595

Celene Medina-amador, - Medicare Clinical Social Worker in Yucaipa, CA