Amy Marie Nordeen, LCSW78801 is a medicare enrolled "Social Worker - Clinical" provider in San Diego, California. Her current practice location is
402 W Broadway Ste 1925, San Diego, California. You can reach out to her office (for appointments etc.) via phone at
(619) 930-9060.
Amy Marie Nordeen is licensed to practice in California (license number LCSW78801) 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 1497002042.
Healthcare Provider's Profile
| Full Name | Amy Marie Nordeen |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 402 W Broadway Ste 1925, San Diego, California |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1497002042
- Provider Enumeration Date: 08/13/2012
- Last Update Date: 08/02/2021
Medicare PECOS Information:
- PECOS PAC ID: 9234509381
- Enrollment ID: I20230105001997
Medical Identifiers
Medical identifiers for Amy Marie Nordeen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1497002042 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | ASW63203 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | 78801 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW78801 (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. Amy Marie Nordeen allows following entities to bill medicare on her behalf.
| Entity Name | Mental Health Systems, Inc. |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1760431670
PECOS PAC ID: 8628019320
Enrollment ID: O20050512000474 |
|---|
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. Amy Marie Nordeen 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 |
|---|
Amy Marie Nordeen, LCSW78801
402 W Broadway Ste 1925,
San Diego, CA 92101-8505
Ph: (619) 930-9060 | Amy Marie Nordeen, LCSW78801
402 W Broadway Ste 1925,
San Diego, CA 92101-8505
Ph: (619) 930-9060 |
Reviews and Comments