Mr Teodulo Cruz Bonzon, LCSW in Glendale, CA - Medicare Social Worker Provider

Mr Teodulo Cruz Bonzon, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Glendale, California. His current practice location is 3013 Annita Dr, Glendale, California. You can reach out to his office (for appointments etc.) via phone at (818) 846-4469.

Mr Teodulo Cruz Bonzon is licensed to practice in California (license number LCS19646) 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 1497039192.

Contact Information

	Mr Teodulo Cruz Bonzon, LCSW
	3013 Annita Dr, Glendale, CA 91206-1302
	(818) 846-4469
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Teodulo Cruz Bonzon
Gender	Male
Speciality	Social Worker - Clinical
Location	3013 Annita Dr, Glendale, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497039192
Provider Enumeration Date: 09/30/2011
Last Update Date: 12/30/2019

Medicare PECOS Information:

PECOS PAC ID: 0446650766
Enrollment ID: I20210614001889

Medical Identifiers

Medical identifiers for Mr Teodulo Cruz Bonzon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497039192	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LCS19646 (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 Teodulo Cruz Bonzon allows following entities to bill medicare on his behalf.

Entity Name	Guadalupe Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053902734 PECOS PAC ID: 1456751775 Enrollment ID: O20210608002458

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 Teodulo Cruz Bonzon 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 Teodulo Cruz Bonzon, LCSW Po Box 9405, Glendale, CA 91226-0405 Ph: (818) 846-4469	Mr Teodulo Cruz Bonzon, LCSW 3013 Annita Dr, Glendale, CA 91206-1302 Ph: (818) 846-4469

Reviews and Comments

Social Worker in Glendale, CA

Natalie Anne Innocenzi, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1118 Newby St, Glendale, CA 91201 Phone: 626-818-0077
Mary Ann Dunham, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 444 W Glenoaks Blvd, Glendale, CA 91202 Phone: 818-552-3000
Francie Issenman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 320 Arden Ave, Suite 240, Glendale, CA 91203 Phone: 818-759-3433
Stella Luna Petros, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 237 N Central Ave, C, Glendale, CA 91203 Phone: 818-547-9544
Elizabeth Pashanian, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 138 N Brand Blvd Ste 200, Glendale, CA 91203 Phone: 424-413-0949
Knar Kaakejian, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1137 N Central Ave, Glendale, CA 91202 Phone: 818-456-8674
Astghik Harootunian, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 141 S Cedar St, Glendale, CA 91205 Phone: 818-839-4010 Fax: 818-839-4011

Mr Teodulo Cruz Bonzon, LCSW - Medicare Clinical Social Worker in Glendale, CA