Mr Theb Manivanh, LCSW in Visalia, CA - Medicare Social Worker Provider

Mr Theb Manivanh, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Visalia, California. His current practice location is 505 N Court St, Visalia, California. You can reach out to his office (for appointments etc.) via phone at (559) 730-7566.

Mr Theb Manivanh is licensed to practice in California (license number 28251) 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 1649459835.

Contact Information

	Mr Theb Manivanh, LCSW
	505 N Court St, Visalia, CA 93291-4912
	(559) 730-7566
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Theb Manivanh
Gender	Male
Speciality	Social Worker - Clinical
Location	505 N Court St, Visalia, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649459835
Provider Enumeration Date: 10/24/2007
Last Update Date: 07/06/2022

Medicare PECOS Information:

PECOS PAC ID: 9537607262
Enrollment ID: I20240813003078

Medical Identifiers

Medical identifiers for Mr Theb Manivanh such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649459835	NPI	-	NPPES
28251	Other	CA	LCSW

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	28251 (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 Theb Manivanh allows following entities to bill medicare on his behalf.

Entity Name	Lake County Tribal Health Consortium Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881697381 PECOS PAC ID: 8729975545 Enrollment ID: O20040304000323

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 Theb Manivanh 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 Theb Manivanh, LCSW 505 N Court St, Visalia, CA 93291-4912 Ph: (559) 730-7566	Mr Theb Manivanh, LCSW 505 N Court St, Visalia, CA 93291-4912 Ph: (559) 730-7566

Reviews and Comments

Social Worker in Visalia, CA

Colijia Feliz, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 425 E Oak Ave Ste 201, Visalia, CA 93291 Phone: 559-242-1220
Heidi Kristel Corbett, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 400 W Mineral King Ave, Visalia, CA 93291 Phone: 559-624-2000
Ana Delvillar, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2611 N Dinuba Blvd, Visalia, CA 93291 Phone: 559-737-4350
Mrs. Judith E Francois, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 201 N Court St, Visalia, CA 93291 Phone: 559-627-2046 Fax: 559-627-9079
Mrs. Gianna Navarro Merriam, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1830 S Central St, Visalia, CA 93277 Phone: 559-730-2969 Fax: 559-730-2991
Ashley Naomi Elizabeth Ramirez, ASW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Po Box 3881, Visalia, CA 93278 Phone: 559-723-9794
Dianna Gibson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1830 S Central St, Visalia, CA 93277 Phone: 559-730-2969

Mr Theb Manivanh, LCSW - Medicare Clinical Social Worker in Visalia, CA