Mauricio Perez, LICSW in Puyallup, WA - Medicare Social Worker Provider

Mauricio Perez, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Puyallup, Washington. His current practice location is 12020 Sunrise Blvd E Apt J107, Puyallup, Washington. You can reach out to his office (for appointments etc.) via phone at (253) 797-0331.

Mauricio Perez is licensed to practice in Washington (license number LW61455329) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1366871824.

Contact Information

	Mauricio Perez, LICSW
	12020 Sunrise Blvd E Apt J107, Puyallup, WA 98374-8017
	(253) 797-0331
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mauricio Perez
Gender	Male
Speciality	Social Worker - Clinical
Location	12020 Sunrise Blvd E Apt J107, Puyallup, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366871824
Provider Enumeration Date: 11/05/2013
Last Update Date: 12/05/2023

Medicare PECOS Information:

PECOS PAC ID: 4587005806
Enrollment ID: I20240516003120

Medical Identifiers

Medical identifiers for Mauricio Perez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366871824	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LW61455329 (Washington)	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. Mauricio Perez allows following entities to bill medicare on his behalf.

Entity Name	Mindful Therapy Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316238678 PECOS PAC ID: 4981872561 Enrollment ID: O20110726000730

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. Mauricio Perez 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
Mauricio Perez, LICSW 12020 Sunrise Blvd E Apt J107, Puyallup, WA 98374-8017 Ph: (253) 797-0331	Mauricio Perez, LICSW 12020 Sunrise Blvd E Apt J107, Puyallup, WA 98374-8017 Ph: (253) 797-0331

Reviews and Comments

Social Worker in Puyallup, WA

Eric J Lundstrom, MSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 12515 Meridian E Ste 204, Puyallup, WA 98373 Phone: 206-940-3543 Fax: 253-770-4990
Candice Eli, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 324 S Meridian, Puyallup, WA 98371 Phone: 253-310-1295
Lauren Brown, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 14426 119th Avenue Ct E, Puyallup, WA 98374 Phone: 253-736-4738
Makayla Mason, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 16410 96th Avenue Ct E, Puyallup, WA 98375 Phone: 253-355-6812
Sandi Molina Willden, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 325 E Pioneer, Puyallup, WA 98372 Phone: 253-697-8400 Fax: 253-697-3730
Ms. Tamara Kristin Pietzke, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 325 E Pioneer, Puyallup, WA 98372 Phone: 253-697-8400
Carolyn Lynn Vanderbloemen, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 407 14th Ave Se, Puyallup, WA 98372 Phone: 253-697-4000

Mauricio Perez, LICSW - Medicare Clinical Social Worker in Puyallup, WA