Mr Nino A Elizondo, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Marlboro, New York. His current practice location is
45 Cricchio Dr, Marlboro, New York. You can reach out to his office (for appointments etc.) via phone at
(703) 927-6322.
Mr Nino A Elizondo is licensed to practice in New York (license number 072214) 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 1164608188.
Healthcare Provider's Profile
Full Name | Mr Nino A Elizondo |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 45 Cricchio Dr, Marlboro, New York |
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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: 1164608188
- Provider Enumeration Date: 01/22/2008
- Last Update Date: 07/08/2013
Medicare PECOS Information:
- PECOS PAC ID: 9537496104
- Enrollment ID: I20210624000225
Medical Identifiers
Medical identifiers for Mr Nino A Elizondo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1164608188 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 072214 (New York) | 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 Nino A Elizondo allows following entities to bill medicare on his behalf.
Entity Name | Mobile Counseling Of New York Lcsw Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1700359700 PECOS PAC ID: 9234548710 Enrollment ID: O20210513001278 |
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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. Mr Nino A Elizondo 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 Nino A Elizondo, LCSW 45 Cricchio Dr, Marlboro, NY 12542-6321 Ph: (703) 927-6322 | Mr Nino A Elizondo, LCSW 45 Cricchio Dr, Marlboro, NY 12542-6321 Ph: (703) 927-6322 |
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