Mr Kelly Danae Loftis, LCSW in Los Angeles, CA - Medicare Social Worker Provider

Mr Kelly Danae Loftis, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Los Angeles, California. His current practice location is 6041 Cadillac Ave, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (323) 857-2729.

Mr Kelly Danae Loftis is licensed to practice in California (license number LCSW70491) 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 1477995249.

Contact Information

	Mr Kelly Danae Loftis, LCSW
	6041 Cadillac Ave, Los Angeles, CA 90034-1702
	(323) 857-2729
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Kelly Danae Loftis
Gender	Male
Speciality	Social Worker - Clinical
Location	6041 Cadillac Ave, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477995249
Provider Enumeration Date: 07/22/2013
Last Update Date: 05/26/2023

Medicare PECOS Information:

PECOS PAC ID: 5193131407
Enrollment ID: I20210311001896

Medical Identifiers

Medical identifiers for Mr Kelly Danae Loftis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477995249	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	CSW09924003 (Colorado)	Secondary
1041C0700X	Social Worker - Clinical	LCSW70491 (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. Mr Kelly Danae Loftis allows following entities to bill medicare on his 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. Mr Kelly Danae Loftis 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
Mr Kelly Danae Loftis, LCSW 3350 Lajolla Village Drive 118s, San Diego, CA 92161-0001 Ph: (858) 232-7991	Mr Kelly Danae Loftis, LCSW 6041 Cadillac Ave, Los Angeles, CA 90034-1702 Ph: (323) 857-2729

Reviews and Comments

Social Worker in Los Angeles, CA

Myla T Howell, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1605 Eastlake Ave, Los Angeles, CA 90033 Phone: 323-226-1871
Lucy S Villegas, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1720 E 120th St, Los Angeles, CA 90059 Phone: 310-668-3201
Ms. Janie Michaels Grauman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 335 N La Brea Ave, Los Angeles, CA 90036 Phone: 323-634-3802 Fax: 323-634-3870
Jill Marie Stonerock, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6957 N Figueroa St, Los Angeles, CA 90042 Phone: 323-443-3175
Kathy Estrada Montes, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 333 S Beaudry Ave, Los Angeles, CA 90017 Phone: 213-241-3841
Marc Richard Russak, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1081 Westwood Blvd Ste 221, Los Angeles, CA 90024 Phone: 310-800-3986
Janet S. Cazares, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 100 W 1st St, Los Angeles, CA 90012 Phone: 310-668-3141

Mr Kelly Danae Loftis, LCSW - Medicare Clinical Social Worker in Los Angeles, CA