Dani Ellen Castleberry, is a medicare enrolled "Social Worker - Clinical" provider in San Diego, California. Her current practice location is
1051 Picador Blvd, San Diego, California. You can reach out to her office (for appointments etc.) via phone at
(619) 662-8370.
Dani Ellen Castleberry is licensed to practice in California (license number 95022) 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 1053706853.
Healthcare Provider's Profile
| Full Name | Dani Ellen Castleberry |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 1051 Picador Blvd, San Diego, 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: 1053706853
- Provider Enumeration Date: 03/30/2015
- Last Update Date: 07/09/2020
Medicare PECOS Information:
- PECOS PAC ID: 6103297296
- Enrollment ID: I20230127002627
Medical Identifiers
Medical identifiers for Dani Ellen Castleberry such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1053706853 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (California) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 95022 (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. Dani Ellen Castleberry allows following entities to bill medicare on her behalf.
| Entity Name | Centro De Salud De La Comunidad De San Ysidro, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1124782685
PECOS PAC ID: 6901709435
Enrollment ID: O20040130000711 |
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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. Dani Ellen Castleberry 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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Dani Ellen Castleberry,
310 Sunset Dr,
Imperial, CA 92251-9516
Ph: (760) 960-0962 | Dani Ellen Castleberry,
1051 Picador Blvd,
San Diego, CA 92154-3548
Ph: (619) 662-8370 |
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