Lisa Marie Pedersen, LCSW in Harbor City, CA - Medicare Social Worker Provider

Lisa Marie Pedersen, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Harbor City, California. Her current practice location is 25825 Vermont Ave, Harbor City, California. You can reach out to her office (for appointments etc.) via phone at (424) 251-7791.

Lisa Marie Pedersen is licensed to practice in California (license number LCS17867) 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 1386857845.

Contact Information

	Lisa Marie Pedersen, LCSW
	25825 Vermont Ave, Harbor City, CA 90710-3518
	(424) 251-7791
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Lisa Marie Pedersen
Gender	Female
Speciality	Social Worker - Clinical
Location	25825 Vermont Ave, Harbor City, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1386857845
Provider Enumeration Date: 05/08/2007
Last Update Date: 12/27/2021

Medicare PECOS Information:

PECOS PAC ID: 0941693022
Enrollment ID: I20220214001012

Medical Identifiers

Medical identifiers for Lisa Marie Pedersen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386857845	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LCS17867 (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. Lisa Marie Pedersen 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: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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. Lisa Marie Pedersen 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
Lisa Marie Pedersen, LCSW 25825 Vermont Ave, Harbor City, CA 90710-3518 Ph: (424) 251-7791	Lisa Marie Pedersen, LCSW 25825 Vermont Ave, Harbor City, CA 90710-3518 Ph: (424) 251-7791

Reviews and Comments

Social Worker in Harbor City, CA

Mrs. Julianne Flores Lucia, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1403 Lomita Blvd Fl 2, Harbor City, CA 90710 Phone: 310-602-2577
Mrs. Dorothy Jean Ratliff, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 26143 Frampton Ave, #c, Harbor City, CA 90710 Phone: 310-325-2587
Latrice Mitchell, PSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-325-5111
Andrea Angelica Tanori, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 424-251-7791
Carlos C Martinez, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-325-5111 Fax: 626-405-6768
Johanna Natalie Perez, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1403 Lomita Blvd, Harbor City, CA 90710 Phone: 213-514-0073
Ms. Christine Chi Nguyen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 25975 Normandie Ave, Harbor City, CA 90710 Phone: 424-251-7791

Lisa Marie Pedersen, LCSW - Medicare Clinical Social Worker in Harbor City, CA