Mrs Marysol Rezanov, LCSW in Las Vegas, NV - Medicare Clinical Social Worker Provider

Mrs Marysol Rezanov, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Las Vegas, Nevada. She graduated from medical school in 2008 and has 16 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Nueva Vida Mental Health Llc and her current practice location is 4170 S Decatur Blvd Ste C1, Las Vegas, Nevada. You can reach out to her office (for appointments etc.) via phone at (702) 659-8827.

Mrs Marysol Rezanov is licensed to practice in Nevada (license number 6215-C) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1003127499.

Contact Information

	Mrs Marysol Rezanov, LCSW
	4170 S Decatur Blvd Ste C1, Las Vegas, NV 89103-5863
	(702) 659-8827
	(702) 852-0984

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Marysol Rezanov
Gender	Female
Speciality	Clinical Social Worker
Experience	16 Years
Location	4170 S Decatur Blvd Ste C1, Las Vegas, Nevada
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Marysol Rezanov graduated from medical school in 2008

NPI Data:

NPI Number: 1003127499
Provider Enumeration Date: 06/30/2010
Last Update Date: 10/16/2017

Medicare PECOS Information:

PECOS PAC ID: 7911136056
Enrollment ID: I20140212000729

Medical Identifiers

Medical identifiers for Mrs Marysol Rezanov such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003127499	NPI	-	NPPES
1598015240	Other	NV	GROUP NPI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	6215-C (Nevada)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Nueva Vida Mental Health Llc	3678702701	2

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 Marysol Rezanov allows following entities to bill medicare on her behalf.

Entity Name	Nueva Vida Mental Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598015240 PECOS PAC ID: 3678702701 Enrollment ID: O20140212000603

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 Marysol Rezanov 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 Marysol Rezanov, LCSW 4170 S Decatur Blvd Ste C1, Las Vegas, NV 89103-5863 Ph: (702) 659-8827	Mrs Marysol Rezanov, LCSW 4170 S Decatur Blvd Ste C1, Las Vegas, NV 89103-5863 Ph: (702) 659-8827

Reviews and Comments

Social Worker in Las Vegas, NV

Arthur Tabrizi, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 6543 Las Vegas Blvd S Unit 200, Las Vegas, NV 89119 Phone: 702-933-9535
Megan Rae Mercado, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9565 Dollardton St, Las Vegas, NV 89139 Phone: 310-634-5506
Mr. David Alexander Sturgeon, CSW-INTERN Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7381 Prairie Falcon Rd, Las Vegas, NV 89128 Phone: 702-468-1321 Fax: 702-396-0015
Mrs. Pamela Rinato, LCSW, PSYD Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3371 N Buffalo Drive, Las Vegas, NV 89129 Phone: 702-515-1374 Fax: 702-331-3098
Latoyia Kurbane Griffin, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3375 S Rainbow Blvd Unit 82251, Las Vegas, NV 89180 Phone: 702-485-0430
Mr. Gerald R Earl, MSSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3131 La Canada St Ste 216, Las Vegas, NV 89109 Phone: 702-636-3000

Mrs Marysol Rezanov, LCSW - Medicare Clinical Social Worker in Las Vegas, NV