Paula Ploof, LCSW - Medicare Clinical Social Worker in Mariposa, CA

Paula Ploof, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Mariposa, California. Her current practice location is 5109 Jessie St Unit 2184, Mariposa, California. You can reach out to her office (for appointments etc.) via phone at (860) 249-4969.

Paula Ploof is licensed to practice in California (license number 103343) 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 1740538818.

Contact Information

Paula Ploof, LCSW
5109 Jessie St Unit 2184,
Mariposa, CA 95338-2596
(860) 249-4969
Not Available

Map and Direction




Healthcare Provider's Profile

Full NamePaula Ploof
GenderFemale
SpecialitySocial Worker - Clinical
Location5109 Jessie St Unit 2184, Mariposa, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1740538818
  • Provider Enumeration Date: 08/21/2012
  • Last Update Date: 05/28/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 4587000740
  • Enrollment ID: I20240311000224

Medical Identifiers

Medical identifiers for Paula Ploof such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740538818NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 103343 (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. Paula Ploof allows following entities to bill medicare on her behalf.
Entity NameJohn C Fremont Healthcare District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750504270
PECOS PAC ID: 5890689533
Enrollment ID: O20040212000193

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. Paula Ploof 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 AddressPractice Location Address
Paula Ploof, LCSW
Po Box 2184,
Mariposa, CA 95338-2184

Ph: (860) 249-4969
Paula Ploof, LCSW
5109 Jessie St Unit 2184,
Mariposa, CA 95338-2596

Ph: (860) 249-4969

Reviews and Comments


Social Worker in Mariposa, CA

Sydney Forga,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 5362 Lemee Ln, Mariposa, CA 95338
Phone: 209-742-0842    
David W. Goger, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 3908 Ben Hur Rd, Mariposa, CA 95338
Phone: 209-742-7618    
Carrie J Maddox, ACSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 6986 Scott Rd, Mariposa, CA 95338
Phone: 209-966-7095    
Karen Rust, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 5037 Stroming Rd, Mariposa, CA 95338
Phone: 209-966-2000    Fax: 209-966-8251
Jessica Boerner-grissom, SW IV
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 5362 Lemee Lane, Mariposa, CA 95338
Phone: 209-966-2000    Fax: 209-966-8251
Ms. Betty Jone Massey, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 5189 Hospital Rd, Mariposa, CA 95338
Phone: 209-966-3631    Fax: 209-966-8438
Debra A Hutchins, LCSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 3736 Jones Creek Rd, Mariposa, CA 95338
Phone: 512-293-1486    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.