Ethelyn Lara, LMSW in Phoenix, AZ - Medicare Social Worker Provider

Ethelyn Lara, LMSW is a medicare enrolled "Social Worker - Clinical" provider in Phoenix, Arizona. Her current practice location is 1919 E Thomas Rd, Phoenix, Arizona. You can reach out to her office (for appointments etc.) via phone at (602) 933-0990.

Ethelyn Lara is licensed to practice in Arizona (license number LCSW-19732) 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 1699264887.

Contact Information

	Ethelyn Lara, LMSW
	1919 E Thomas Rd, Phoenix, AZ 85016-7710
	(602) 933-0990
	(602) 933-4251

Map and Direction

Healthcare Provider's Profile

Full Name	Ethelyn Lara
Gender	Female
Speciality	Social Worker - Clinical
Location	1919 E Thomas Rd, Phoenix, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1699264887
Provider Enumeration Date: 05/03/2018
Last Update Date: 11/15/2021

Medicare PECOS Information:

PECOS PAC ID: 8527457332
Enrollment ID: I20211117001749

Medical Identifiers

Medical identifiers for Ethelyn Lara such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699264887	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LCSW-19732 (Arizona)	Primary
1041C0700X	Social Worker - Clinical	16318 (Arizona)	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. Ethelyn Lara allows following entities to bill medicare on her behalf.

Entity Name	Maricopa County Special Health Care District
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073576740 PECOS PAC ID: 4688583651 Enrollment ID: O20031204000823

Entity Name	Phoenix Children's Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922112044 PECOS PAC ID: 0446278584 Enrollment ID: O20051107000704

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. Ethelyn Lara 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
Ethelyn Lara, LMSW 3200 E Camelback Rd Ste 250, Phoenix, AZ 85018-2327 Ph: (602) 933-1814	Ethelyn Lara, LMSW 1919 E Thomas Rd, Phoenix, AZ 85016-7710 Ph: (602) 933-0990

Reviews and Comments

Social Worker in Phoenix, AZ

Lindsey Arendt, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 501 N 24th St, Phoenix, AZ 85008 Phone: 602-220-6345
Mrs. Solee R Cowley, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1919 E Thomas Rd, Phoenix, AZ 85016 Phone: 602-933-0414 Fax: 602-933-4252
Jennifer M Santos, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1919 E Thomas Rd, Phoenix, AZ 85016 Phone: 602-933-1900 Fax: 602-933-0818
Mr. Josue Bustos, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1101 N Central Ave Ste 200, Phoenix, AZ 85004 Phone: 602-307-5330 Fax: 602-307-5021
Dominic Marco Miller, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3450 N 3rd St, Phoenix, AZ 85012 Phone: 602-265-8338
Ira Dressner, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 34225 N 27th Dr, Building 5, Suite 138, Phoenix, AZ 85085 Phone: 623-523-9987 Fax: 888-343-2533
Ms. Liana Dressner, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 34225 N 27th Dr, Building 5, Suite 138, Phoenix, AZ 85085 Phone: 623-523-9323 Fax: 888-343-2533

Ethelyn Lara, LMSW - Medicare Clinical Social Worker in Phoenix, AZ