Dora Laverne Porter, is a medicare enrolled "Social Worker - Clinical" provider in Ontario, California. Her current practice location is
1647 E Holt Blvd, Ontario, California. You can reach out to her office (for appointments etc.) via phone at
(909) 458-9628.
Dora Laverne Porter is licensed to practice in * (Not Available) (license number ) 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 1821379231.
Healthcare Provider's Profile
Full Name | Dora Laverne Porter |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 1647 E Holt Blvd, Ontario, California |
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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: 1821379231
- Provider Enumeration Date: 08/30/2011
- Last Update Date: 02/10/2023
Medicare PECOS Information:
- PECOS PAC ID: 1557799863
- Enrollment ID: I20200320000894
Medical Identifiers
Medical identifiers for Dora Laverne Porter such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1821379231 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | 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. Dora Laverne Porter allows following entities to bill medicare on her behalf.
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
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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. Dora Laverne Porter 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 |
Dora Laverne Porter, Po Box 12153, San Bernardino, CA 92423-2153 Ph: (909) 641-9536 | Dora Laverne Porter, 1647 E Holt Blvd, Ontario, CA 91761-2107 Ph: (909) 458-9628 |
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