Miss Annette Marie Puga, in San Dimas, CA - Medicare Social Worker Provider

Miss Annette Marie Puga, is a medicare enrolled "Social Worker - Clinical" provider in San Dimas, California. Her current practice location is 554 E Foothill Blvd Ste 106, San Dimas, California. You can reach out to her office (for appointments etc.) via phone at (909) 422-6550.

Miss Annette Marie Puga is licensed to practice in California (license number 29509) 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 1326178534.

Contact Information

	Miss Annette Marie Puga,
	554 E Foothill Blvd Ste 106, San Dimas, CA 91773-1222
	(909) 422-6550
	(909) 703-2850

Map and Direction

Healthcare Provider's Profile

Full Name	Miss Annette Marie Puga
Gender	Female
Speciality	Social Worker - Clinical
Location	554 E Foothill Blvd Ste 106, San Dimas, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1326178534
Provider Enumeration Date: 03/06/2007
Last Update Date: 10/28/2024

Medicare PECOS Information:

PECOS PAC ID: 5092123026
Enrollment ID: I20210412002720

Medical Identifiers

Medical identifiers for Miss Annette Marie Puga such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326178534	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	29509 (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. Miss Annette Marie Puga 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. Miss Annette Marie Puga 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
Miss Annette Marie Puga, Po Box 344, La Mirada, CA 90637-0344 Ph: (909) 422-6550	Miss Annette Marie Puga, 554 E Foothill Blvd Ste 106, San Dimas, CA 91773-1222 Ph: (909) 422-6550

Reviews and Comments

Social Worker in San Dimas, CA

Kimberly Nicole Clayton, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1900 Sycamore Canyon Rd, San Dimas, CA 91773 Phone: 909-599-2361
Cynthia Carleen Gonzalez, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 762 W Cypress Ave, San Dimas, CA 91773 Phone: 909-599-1227
Sarah Michelle Davis, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1472 W Badillo St, San Dimas, CA 91773 Phone: 626-710-3414
Jacquelyn Denise Najera, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 180 Via Verde Ste 200, San Dimas, CA 91773 Phone: 909-599-1227
Jacob Singhavong, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 540 E Foothill Blvd Ste 101, San Dimas, CA 91773 Phone: 626-779-8583
Flor Ramos-montelongo, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 180 Via Verde Ste 200, San Dimas, CA 91773 Phone: 909-599-1227
Heidi Sofia Montiel Rosales, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 180 Via Verde Ste 200, San Dimas, CA 91773 Phone: 909-599-1227

Miss Annette Marie Puga, - Medicare Clinical Social Worker in San Dimas, CA