Brenda Odalys Tavara, LMSW is a medicare enrolled "Social Worker - Clinical" provider in Gaithersburg, Maryland. Her current practice location is
220 Girard St # 100, Gaithersburg, Maryland. You can reach out to her office (for appointments etc.) via phone at
(301) 216-0880.
Brenda Odalys Tavara is licensed to practice in Maryland (license number 25911) 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 1841817467.
Healthcare Provider's Profile
Full Name | Brenda Odalys Tavara |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 220 Girard St # 100, Gaithersburg, Maryland |
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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: 1841817467
- Provider Enumeration Date: 06/30/2020
- Last Update Date: 06/30/2020
Medicare PECOS Information:
- PECOS PAC ID: 0042689564
- Enrollment ID: I20221206000265
Medical Identifiers
Medical identifiers for Brenda Odalys Tavara such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1841817467 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 25911 (Maryland) | Secondary |
1041C0700X | Social Worker - Clinical | 25911 (Maryland) | 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 Odalys Tavara allows following entities to bill medicare on her behalf.
Entity Name | Community Clinic, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1790730281 PECOS PAC ID: 6204722614 Enrollment ID: O20040224000222 |
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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 Odalys Tavara 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 |
Brenda Odalys Tavara, LMSW 8630 Fenton St Ste 1204, Silver Spring, MD 20910-3808 Ph: (240) 839-5811 | Brenda Odalys Tavara, LMSW 220 Girard St # 100, Gaithersburg, MD 20877-3467 Ph: (301) 216-0880 |
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