Estela M Polo-jacobsson, LCSW in Riverside, CA - Medicare Social Worker Provider

Estela M Polo-jacobsson, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Riverside, California. Her current practice location is 12691 Granite Pass Rd, Riverside, California. You can reach out to her office (for appointments etc.) via phone at (951) 454-4720.

Estela M Polo-jacobsson is licensed to practice in California (license number LCS21159) 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 1518055409.

Contact Information

	Estela M Polo-jacobsson, LCSW
	12691 Granite Pass Rd, Riverside, CA 92503-8425
	(951) 454-4720
	(951) 454-4720

Map and Direction

Healthcare Provider's Profile

Full Name	Estela M Polo-jacobsson
Gender	Female
Speciality	Social Worker - Clinical
Location	12691 Granite Pass Rd, Riverside, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518055409
Provider Enumeration Date: 10/10/2006
Last Update Date: 11/30/2021

Medicare PECOS Information:

PECOS PAC ID: 1557557212
Enrollment ID: I20101122000250

Medical Identifiers

Medical identifiers for Estela M Polo-jacobsson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518055409	NPI	-	NPPES
LCS21159	Other	CA	LCSW

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LCS21159 (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. Estela M Polo-jacobsson 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. Estela M Polo-jacobsson 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
Estela M Polo-jacobsson, LCSW 12691 Granite Pass Rd, Riverside, CA 92503-8425 Ph: (951) 454-4720	Estela M Polo-jacobsson, LCSW 12691 Granite Pass Rd, Riverside, CA 92503-8425 Ph: (951) 454-4720

Reviews and Comments

Social Worker in Riverside, CA

Mrs. Jacqueline S Ashley, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7140 Indiana Ave, Riverside, CA 92504 Phone: 951-358-6000
Cristina Flores Hubb, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5870 Arlington Ave, Riverside, CA 92504 Phone: 951-683-6596
Jessica Elizabeth Wilinski, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2085 Rustin Ave Bldg 4, Riverside, CA 92507 Phone: 951-955-8000
Lisa Stokes, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4996 La Sierra Ave, Riverside, CA 92505 Phone: 951-525-3752
Deren Leland Mikels, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5015 Canyon Crest Dr, Suite 102, Riverside, CA 92507 Phone: 951-529-3692 Fax: 951-346-3780
Mr. Christopher John Hanlon, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2085 Rustin Ave # 4, Riverside, CA 92507 Phone: 951-955-8000
Mrs. Kristin Jean Miller, M.S.W Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2085 Rustin Ave, Riverside, CA 92507 Phone: 951-715-5040 Fax: 951-784-4976

Estela M Polo-jacobsson, LCSW - Medicare Clinical Social Worker in Riverside, CA