Marissa Mireles, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Deer Park, Texas. Her current practice location is
3430 Center St, Deer Park, Texas. You can reach out to her office (for appointments etc.) via phone at
(832) 548-5000.
Marissa Mireles is licensed to practice in Texas (license number 103514) 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 1144942657.
Healthcare Provider's Profile
Full Name | Marissa Mireles |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 3430 Center St, Deer Park, Texas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1144942657
- Provider Enumeration Date: 09/13/2022
- Last Update Date: 04/30/2024
Medicare PECOS Information:
- PECOS PAC ID: 8022456565
- Enrollment ID: I20240403002796
Medical Identifiers
Medical identifiers for Marissa Mireles such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1144942657 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 103514 (Texas) | 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. Marissa Mireles allows following entities to bill medicare on her behalf.
Entity Name | Legacy Community Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1679524961 PECOS PAC ID: 7911969092 Enrollment ID: O20110706000516 |
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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. Marissa Mireles 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 |
Marissa Mireles, LCSW 3430 Center St, Deer Park, TX 77536-5056 Ph: (832) 548-5000 | Marissa Mireles, LCSW 3430 Center St, Deer Park, TX 77536-5056 Ph: (832) 548-5000 |
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