Roger Antonio Portillo, in Montebello, CA - Medicare Social Worker Provider

Roger Antonio Portillo, is a medicare enrolled "Social Worker - Clinical" provider in Montebello, California. His current practice location is 405 N 19th St, Montebello, California. You can reach out to his office (for appointments etc.) via phone at (323) 788-6298.

Roger Antonio Portillo is licensed to practice in California (license number LCSW87707) 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 1487940755.

Contact Information

	Roger Antonio Portillo,
	405 N 19th St, Montebello, CA 90640-3942
	(323) 788-6298
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Roger Antonio Portillo
Gender	Male
Speciality	Social Worker - Clinical
Location	405 N 19th St, Montebello, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487940755
Provider Enumeration Date: 06/24/2011
Last Update Date: 09/22/2023

Medicare PECOS Information:

PECOS PAC ID: 0143610857
Enrollment ID: I20220203002347

Medical Identifiers

Medical identifiers for Roger Antonio Portillo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487940755	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LCSW87707 (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. Roger Antonio Portillo allows following entities to bill medicare on his behalf.

Entity Name	Pacific Clinics
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255496105 PECOS PAC ID: 4082008420 Enrollment ID: O20220228001926

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. Roger Antonio Portillo 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
Roger Antonio Portillo, 11741 Telegraph Rd, Santa Fe Springs, CA 90670-3681 Ph: (562) 949-8455	Roger Antonio Portillo, 405 N 19th St, Montebello, CA 90640-3942 Ph: (323) 788-6298

Reviews and Comments

Social Worker in Montebello, CA

Eloisa Padilla, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 2021 Southside Dr, Montebello, CA 90640 Phone: 626-488-3941
George Caballero, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 111 W Beverly Blvd, Suite 209, Montebello, CA 90640 Phone: 323-255-9421 Fax: 323-344-9084
Ms. Elizabeth San Elias, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 901 W Whittier Blvd, Montebello, CA 90640 Phone: 323-728-8588 Fax: 323-728-4444
Tatevik Movsisyan, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Po Box 1274, Montebello, CA 90640 Phone: 323-314-6264
Ms. Lauren Michele Greeley, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1702 S Bradbury Dr, Montebello, CA 90640 Phone: --
Ms. Nancy Ivette Bautista, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1818 W Beverly Blvd Ste 207, Montebello, CA 90640 Phone: 562-385-5532

Roger Antonio Portillo, - Medicare Clinical Social Worker in Montebello, CA