Ms Paola Mercedes Moreno Wazlavek, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Santa Teresa, New Mexico. Her current practice location is
5312 Rio Bravo Dr Ste 10, Santa Teresa, New Mexico. You can reach out to her office (for appointments etc.) via phone at
(575) 915-1338.
Ms Paola Mercedes Moreno Wazlavek is licensed to practice in New Mexico (license number C-10576) 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 1982914941.
Healthcare Provider's Profile
Full Name | Ms Paola Mercedes Moreno Wazlavek |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 5312 Rio Bravo Dr Ste 10, Santa Teresa, New Mexico |
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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: 1982914941
- Provider Enumeration Date: 10/08/2010
- Last Update Date: 09/01/2023
Medicare PECOS Information:
- PECOS PAC ID: 3870984792
- Enrollment ID: I20231129000801
Medical Identifiers
Medical identifiers for Ms Paola Mercedes Moreno Wazlavek such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1982914941 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | SW9414 (Florida) | Secondary |
1041C0700X | Social Worker - Clinical | C-10576 (New Mexico) | 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. Ms Paola Mercedes Moreno Wazlavek allows following entities to bill medicare on her behalf.
Entity Name | Nm Family Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1649697657 PECOS PAC ID: 3274754775 Enrollment ID: O20141027001904 |
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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. Ms Paola Mercedes Moreno Wazlavek 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 |
Ms Paola Mercedes Moreno Wazlavek, LCSW Po Box 2523, Sunland Park, NM 88063-2523 Ph: (575) 915-1338 | Ms Paola Mercedes Moreno Wazlavek, LCSW 5312 Rio Bravo Dr Ste 10, Santa Teresa, NM 88008-9210 Ph: (575) 915-1338 |
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