Mr Mario Walther Victor, MSW in Fremont, CA - Medicare Social Worker Provider

Mr Mario Walther Victor, MSW is a medicare enrolled "Social Worker - Clinical" provider in Fremont, California. His current practice location is 39650 Liberty St, Fremont, California. You can reach out to his office (for appointments etc.) via phone at (510) 498-2890.

Mr Mario Walther Victor is licensed to practice in California (license number 20292) 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 1093853103.

Contact Information

	Mr Mario Walther Victor, MSW
	39650 Liberty St, Fremont, CA 94538-2223
	(510) 498-2890
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Mario Walther Victor
Gender	Male
Speciality	Social Worker - Clinical
Location	39650 Liberty St, Fremont, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093853103
Provider Enumeration Date: 02/01/2007
Last Update Date: 05/02/2023

Medicare PECOS Information:

PECOS PAC ID: 6608179411
Enrollment ID: I20160127002202

Medical Identifiers

Medical identifiers for Mr Mario Walther Victor such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093853103	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	20292 (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 Mario Walther Victor allows following entities to bill medicare on his behalf.

Entity Name	Sutter Bay Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013950807 PECOS PAC ID: 4284538778 Enrollment ID: O20031125000909

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 Mario Walther Victor 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 Mario Walther Victor, MSW 325 Distel Cir, Los Altos, CA 94022-1408 Ph: (510) 498-2890	Mr Mario Walther Victor, MSW 39650 Liberty St, Fremont, CA 94538-2223 Ph: (510) 498-2890

Reviews and Comments

Social Worker in Fremont, CA

Tina Howerton, ASW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3607 Main St Ste A, Fremont, CA 94538 Phone: 510-270-1200 Fax: 510-249-9623
Leilei Yuan, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 39111 Paseo Padre Pkwy Ste 203e, Fremont, CA 94538 Phone: 443-831-4321
Miss Lauren Ashlei Pina, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 39119 Liberty Street, Building B Room 118 Fre-122-sw, Fremont, CA 94538 Phone: 510-791-4000
Viju Veliyath Thomas, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 39155 Liberty St, Suite G710, Fremont, CA 94538 Phone: 510-795-2434
Mrs. Philie Katherine Chan, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 39155 Liberty St Ste G710, Fremont, CA 94538 Phone: 510-795-2434 Fax: 510-793-3972
Chifang Chang, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3200 Kearney St, Fremont, CA 94538 Phone: 510-498-3998
Tatiana Aracely Donan, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 44000 Old Warm Springs Blvd, Fremont, CA 94538 Phone: 213-241-3841 Fax: 213-241-3305

Mr Mario Walther Victor, MSW - Medicare Clinical Social Worker in Fremont, CA