Leticia Cantor-lopez, ACSW is a medicare enrolled "Social Worker - Clinical" provider in Mendota, California. Her current practice location is
121 Belmont Ave, Mendota, California. You can reach out to her office (for appointments etc.) via phone at
(855) 343-1057.
Leticia Cantor-lopez is licensed to practice in California (license number 114357) 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 1295176303.
Healthcare Provider's Profile
Full Name | Leticia Cantor-lopez |
---|
Gender | Female |
---|
Speciality | Social Worker - Clinical |
---|
Location | 121 Belmont Ave, Mendota, California |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1295176303
- Provider Enumeration Date: 07/17/2013
- Last Update Date: 04/04/2023
Medicare PECOS Information:
- PECOS PAC ID: 7911351002
- Enrollment ID: I20240506004411
Medical Identifiers
Medical identifiers for Leticia Cantor-lopez such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1295176303 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 114357 (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. Leticia Cantor-lopez allows following entities to bill medicare on her behalf.
Entity Name | Grow Healthcare Group Pc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080 |
---|
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. Leticia Cantor-lopez 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 |
Leticia Cantor-lopez, ACSW 121 Belmont Ave, Mendota, CA 93640-8232 Ph: (855) 343-1057 | Leticia Cantor-lopez, ACSW 121 Belmont Ave, Mendota, CA 93640-8232 Ph: (855) 343-1057 |
Reviews and Comments