Elidia De Los Santos, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Hawthorne, California. Her current practice location is
2311 W El Segundo Blvd, Hawthorne, California. You can reach out to her office (for appointments etc.) via phone at
(310) 970-5000.
Elidia De Los Santos is licensed to practice in California (license number 99289) 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 1811392087.
Healthcare Provider's Profile
Full Name | Elidia De Los Santos |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 2311 W El Segundo Blvd, Hawthorne, 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: 1811392087
- Provider Enumeration Date: 10/29/2014
- Last Update Date: 03/03/2021
Medicare PECOS Information:
- PECOS PAC ID: 8628485703
- Enrollment ID: I20210408000964
Medical Identifiers
Medical identifiers for Elidia De Los Santos such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1811392087 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | ASW63256 (California) | Secondary |
1041C0700X | Social Worker - Clinical | 99289 (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. Elidia De Los Santos allows following entities to bill medicare on her behalf.
Entity Name | Los Angeles County Department Of Mental Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1083633929 PECOS PAC ID: 7416869896 Enrollment ID: O20031104000319 |
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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. Elidia De Los Santos 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 |
Elidia De Los Santos, LCSW Po Box 2592, Inglewood, CA 90305-0592 Ph: (213) 481-7464 | Elidia De Los Santos, LCSW 2311 W El Segundo Blvd, Hawthorne, CA 90250-3315 Ph: (310) 970-5000 |
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