Mrs Carly Santos Blalack, LCSW, PPS in La Mesa, CA - Medicare Social Worker Provider

Mrs Carly Santos Blalack, LCSW, PPS is a medicare enrolled "Social Worker - Clinical" provider in La Mesa, California. Her current practice location is 4700 Spring St Ste 220, La Mesa, California. You can reach out to her office (for appointments etc.) via phone at (619) 667-3380.

Mrs Carly Santos Blalack is licensed to practice in California (license number 29364) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1871801803.

Contact Information

	Mrs Carly Santos Blalack, LCSW, PPS
	4700 Spring St Ste 220, La Mesa, CA 91942-0274
	(619) 667-3380
	(619) 667-0815

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Carly Santos Blalack
Gender	Female
Speciality	Social Worker - Clinical
Location	4700 Spring St Ste 220, La Mesa, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1871801803
Provider Enumeration Date: 09/24/2010
Last Update Date: 08/21/2023

Medicare PECOS Information:

PECOS PAC ID: 2769617844
Enrollment ID: I20131025000818

Medical Identifiers

Medical identifiers for Mrs Carly Santos Blalack such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871801803	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	29364 (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. Mrs Carly Santos Blalack allows following entities to bill medicare on her behalf.

Entity Name	Family Health Centers Of San Diego, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447281936 PECOS PAC ID: 3476446378 Enrollment ID: O20040204000923

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. Mrs Carly Santos Blalack 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
Mrs Carly Santos Blalack, LCSW, PPS 3835 N Freeway Blvd Ste 100, Sacramento, CA 95834-1954 Ph: (916) 576-7900	Mrs Carly Santos Blalack, LCSW, PPS 4700 Spring St Ste 220, La Mesa, CA 91942-0274 Ph: (619) 667-3380

Reviews and Comments

Social Worker in La Mesa, CA

Noemi Ana Mitzel, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4540 Maple Ave Unit 243, La Mesa, CA 91941 Phone: 619-417-9936
Dr. William Morris Coombs Iii, DSW, ACSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5520 Wellesley St Ste 100, La Mesa, CA 91942 Phone: 619-860-8447
Ms. Margaret Bouher, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 8318 University Ave, Suite A3, La Mesa, CA 91941 Phone: 619-462-5029 Fax: 619-582-9955
Lori Annette Alford, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5555 Grossmont Center Dr, La Mesa, CA 91942 Phone: 619-740-4806
Mrs. Martha Webb, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 4700 Spring St, Suite 220, La Mesa, CA 91941 Phone: 619-667-3380 Fax: 619-528-4625
Noor Doski, ACSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8600 La Mesa Blvd Ste B, La Mesa, CA 91942 Phone: 619-733-6414
Mr. Eric Michael Worsham, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4990 Williams Ave, La Mesa, CA 91941 Phone: 619-668-4200

Mrs Carly Santos Blalack, LCSW, PPS - Medicare Clinical Social Worker in La Mesa, CA