Jean Blazen, LCSW in Corona, CA - Medicare Social Worker Provider

Jean Blazen, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Corona, California. Her current practice location is 2055 Kellogg Ave Fl 2, Corona, California. You can reach out to her office (for appointments etc.) via phone at (951) 898-7138.

Jean Blazen is licensed to practice in California (license number 22498) 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 1417153081.

Contact Information

	Jean Blazen, LCSW
	2055 Kellogg Ave Fl 2, Corona, CA 92879-3111
	(951) 898-7138
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jean Blazen
Gender	Female
Speciality	Social Worker - Clinical
Location	2055 Kellogg Ave Fl 2, Corona, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417153081
Provider Enumeration Date: 06/21/2007
Last Update Date: 10/23/2021

Medicare PECOS Information:

PECOS PAC ID: 1456530765
Enrollment ID: I20110119000332

Medical Identifiers

Medical identifiers for Jean Blazen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417153081	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	22498 (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. Jean Blazen allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Jean Blazen 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
Jean Blazen, LCSW 2055 Kellogg Ave Fl 2, Corona, CA 92879-3111 Ph: (951) 898-7138	Jean Blazen, LCSW 2055 Kellogg Ave Fl 2, Corona, CA 92879-3111 Ph: (951) 898-7138

Reviews and Comments

Social Worker in Corona, CA

Mr. William Shapiro, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 16756 Chino Corona Rd, Corona, CA 92880 Phone: 909-597-1771
Johnnie Aldridge Ii, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2275 S Main St Ste 201, Corona, CA 92882 Phone: 951-279-3222 Fax: 951-279-5222
Mrs. Jessica Lee Shears, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 22846 Hunters Ct, Corona, CA 92883 Phone: 626-826-6574
Ana Fernandez, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2190 Eveningwind Dr Apt 427, Corona, CA 92879 Phone: 951-415-1961
Michele L. Cyr, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1451 Rimpau Ave, Corona, CA 92879 Phone: 951-970-0372 Fax: 951-689-6288
Mrs. Stephanie Winters, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2055 Kellogg Ave, Corona, CA 92879 Phone: 951-898-7010
Ms. Amrita Rai, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1411 Rimpau Ave, Suite 202, Corona, CA 92879 Phone: 909-910-4294

Jean Blazen, LCSW - Medicare Clinical Social Worker in Corona, CA