Brenda Jeanette Cisneros, is a medicare enrolled "Social Worker - Clinical" provider in Panorama City, California. Her current practice location is
14500 Roscoe Blvd Ste 400, Panorama City, California. You can reach out to her office (for appointments etc.) via phone at
(800) 764-8981.
Brenda Jeanette Cisneros is licensed to practice in California (license number LCSW107694) 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 1700253317.
Healthcare Provider's Profile
| Full Name | Brenda Jeanette Cisneros |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 14500 Roscoe Blvd Ste 400, Panorama City, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1700253317
- Provider Enumeration Date: 08/31/2015
- Last Update Date: 05/04/2022
Medicare PECOS Information:
- PECOS PAC ID: 7416314422
- Enrollment ID: I20230607000755
Medical Identifiers
Medical identifiers for Brenda Jeanette Cisneros such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1700253317 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | ASW73239 (California) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW107694 (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. Brenda Jeanette Cisneros allows following entities to bill medicare on her behalf.
| Entity Name | Grow Healthcare Group Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154994846
PECOS PAC ID: 1850774746
Enrollment ID: O20220809004080 |
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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. Brenda Jeanette Cisneros 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 |
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Brenda Jeanette Cisneros,
14500 Roscoe Blvd Ste 400,
Panorama City, CA 91402-4194
Ph: (800) 764-8981 | Brenda Jeanette Cisneros,
14500 Roscoe Blvd Ste 400,
Panorama City, CA 91402-4194
Ph: (800) 764-8981 |
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